Organization
CENTRO CIEHLO INC
Active
Other names
Centro CIEHLO Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. 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, URBANIZACION BARALT, FAJARDO, PR 00738
(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
03/29/2017
Last updated
03/29/2017
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