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Individual

MR. EDELMIRO MONTALVO-CABAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.M.T., C.L.T.

Contact information

Practice address
MCLEARY ST. 1752, SUITE 4, SAN JUAN, PR 00911
(787) 562-3774
Mailing address
CALLE 1A-24 PARQUES DE SAN IGNACIO, SAN JUAN, PR 00921-4848
(787) 562-3774

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
PR
225700000X
Massage Therapist
PR
225X00000X
Occupational Therapist
Primary
NJ

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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