Organization · NPI-2

Ashford Sports & Wellness Medicine Center

Physiological Laboratory · San Juan, PR

NPI number1710186341
StatusActive
Last updated in NPPESJul 13, 2007

Details

NPI
1710186341
Entity type
Organization (NPI-2)
Legal business name
Ashford Sports & Wellness Medicine Center
Organization subpart
No
Enumeration date
Jul 13, 2007
Last updated
Jul 13, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory11046PRYes

Practice location

1451 Ashford
San Juan, PR 00907-1511

Phone 787-724-3500 · Fax 787-725-0485

Mailing address

1451 Ashford
San Juan, PR 00907-1511

Phone 787-724-3500 · Fax 787-725-0485

Authorized official

Carlos E Jimenez
Medical Director
7877243500

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