Provider Demographics
NPI:1790023786
Name:LG THERAPEUTIC TOUCH CORP
Entity Type:Organization
Organization Name:LG THERAPEUTIC TOUCH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-569-0414
Mailing Address - Street 1:4790 NW 7TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2200
Mailing Address - Country:US
Mailing Address - Phone:305-569-0414
Mailing Address - Fax:305-569-0415
Practice Address - Street 1:4790 NW 7TH ST STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2200
Practice Address - Country:US
Practice Address - Phone:305-569-0414
Practice Address - Fax:305-569-0415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-25
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation