Organization
PAIN BUSTERS PR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NORMAN SUTHERLAND (PRESIDENT)
(787) 550-9166
Entity
Organization
Contact information
Practice address
1475 CALLE WILSON, SUITE 4A WILSON MEDICAL BUILDING, SAN JUAN, PR 00907
(787) 550-9166
Mailing address
PO BOX 79112, CAROLINA, PR 00984-9112
(787) 550-9166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922019629
MASSAGE THERAPY
PR
Enumeration date
01/29/2019
Last updated
01/29/2019
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