Organization
CENTRO RETO DE LA MONTANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE G LEON SR. (PRESIDENTE)
(787) 923-0203
Entity
Organization
Contact information
Practice address
CALLE JULIO CINTRON #202, EDIFICIO GUAYACAN SUITE 218, AIBONTIO, PR 00705
(787) 633-5291
(787) 735-7613
Mailing address
PMB 169 BOX 2400, AIBONITO, PR 00705-2400
(787) 954-7770
(787) 954-7771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
402
PR
225X00000X
Occupational Therapist
1056
PR
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
946
PR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
946
LICENCIA
—
Enumeration date
03/22/2011
Last updated
05/16/2014
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