Organization Name: | CONSCIOUS LEADERS |
NPI Number: | 1003943283 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE ESTHER DOMINGUEZ (PRESIDENTA) |
Mailing Address: | Carr 167, Edif Tomas Kuillan, 2do Piso Bayamon |
State: | PR US |
Postal Code: | 00959 |
Phone Number: | 7877984453 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |