Organization
AQUANEURO THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSAYMA DELIRIS LOPEZ RAMIREZ MA (PRESIDENT)
(787) 929-1594
Entity
Organization
Contact information
Practice address
134 CALLE MORADILLA, SAN JUAN, PR 00926-5123
(787) 789-3481
Mailing address
PO BOX 33092, SAN JUAN, PR 00933-3092
(787) 789-3481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3252
PR
225200000X
Physical Therapy Assistant
Primary
1242
PR
Other
Enumeration date
11/26/2014
Last updated
07/19/2016
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