Organization
MJ PRISMA CORP
Active
Other names
MJ Prisma Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MIYANIL HERNANDEZ MELEDEZ OTL (CEO)
(787) 602-3110
Entity
Organization
Contact information
Practice address
CARR 685 KM 2.9, MANATI, PR 00674
(787) 602-3110
(787) 602-3110
Mailing address
PO BOX 1621, MANATI, PR 00674-1621
(787) 602-3110
(787) 854-0255
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
03/27/2013
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