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Individual

CRISTIAN DAVID PRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOTRL, DPT, CHT

Contact information

Practice address
60 AVENIDA PONCE DE LEON, TORRE AUXILIO MUTUO, SAN JUAN, PR 00917-5029
(904) 315-0394
(888) 796-2874
Mailing address
CALLE GAVIOTA FF-8, DORADO, PR 00646-2309
(904) 315-0394
(888) 796-2874

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4548
PR
225100000X
Physical Therapist
PT26351
FL
225X00000X
Occupational Therapist
Primary
OT12243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00401533
RR MEDICARE
FL
Enumeration date
04/19/2006
Last updated
04/30/2025
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