Organization
SONIA A. GONZALEZ ECHEVARRIA
Active
Parent organization
CENTRO CIEHLO INC
Other names
Centro CIEHLO Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO CIEHLO INC
Authorized official
SONIA AIXA GONZALEZ OTL (OCUPPATIONAL THERAPIST)
(787) 801-2966
Entity
Organization
Contact information
Practice address
A49 CALLE MARGINAL, URB. BARALT, FAJARDO, PR 00738-3759
(787) 801-2966
Mailing address
A49 CALLE MARGINAL, URB. BARALT, FAJARDO, PR 00738-3759
(787) 801-2966
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
589
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589
MEDICAL INSURANCE
PR
Enumeration date
03/28/2017
Last updated
03/28/2017
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