NPI 1942771795
Ecosalus
Practice location
- Address
- 274 Lirio San Rafael Estates II, Bayamon, PR 00959
- Phone
- (787) 596-0358
- Mailing address
- 274 Calle Lirio, Bayamon, PR 00959-4181
Authorised official
- Name
- Leslie E Dominguez
- Title
- Sole Propietor
- Phone
- (787) 596-0358
Registered specialties (6)
Massage Therapist
Primary
Psychologist
Exercise & Sports Psychologist
Nutrition Education Nutritionist
Rehabilitation Practitioner
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1942771795
- Entity type
- Organization
- NPI issued
- 5 Dec 2018
- Record last updated
- 5 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.