Organization
THERAPY@HOME
Active
Other names
Miyanil Hernandez Melendez
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ERNESTO RODRIGUEZ DE JESUS (PT)
(787) 400-0123
Entity
Organization
Contact information
Practice address
9 CARR 2 # KM, BARCELONETA, PR 00617-3338
(787) 400-0123
(787) 846-1414
Mailing address
P.O. BOX 1621, MANATI, PR 00674-1621
(787) 400-0123
(787) 846-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0999
PR
225X00000X
Occupational Therapist
999
PR
Other
Enumeration date
10/02/2006
Last updated
10/02/2007
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