Organization
GOOD LIFE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NATALIA MARTINEZ (VICE PRESIDENT)
(787) 565-2470
Entity
Organization
Contact information
Practice address
656 CALLE HOARE, MIARAMAR, SAN JUAN, PR 00907-3613
(787) 565-2470
Mailing address
656 CALLE HOARE, URB MIRAMAR, SAN JUAN, PR 00907
(787) 565-2470
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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