# CENTRO DE TERAPIA FISICA Y CLINICA DEL DOLOR, CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023076288
- **Authorized official:** MRS. ESPERANZA ORELLANA RPTA (VICE PRESIDENTA ADMINISTRADORA)
- **Authorized official phone:** (787) 714-0510

## Contact information

- **Practice address:** 4 AVENIDA JF KENNEDY, URBANIZACION FERNANDEZ, CIDRA, PR 00739
- **Practice address phone:** (787) 714-0510
- **Practice address fax:** (787) 714-0185
- **Mailing address:** 4 AVENIDA JF KENNEDY, URBANIZACION FERNANDEZ, CIDRA, PR 00739
- **Mailing address phone:** (787) 714-0510
- **Mailing address fax:** (787) 714-0185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 01/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04232 | AMERICAN HEALTH | — |
| 01 | — | 223205 | PREFERRED UTI | — |
| 01 | — | 3303543 | ACAA | — |
| 01 | — | 4177 | FIRST MEDICAL | — |
| 01 | — | 584576598 | GIGNA PREFERRED EXCLUSIVE | — |
| 01 | — | 60565208 | FIRST PLUS | — |
| 01 | — | 6400208 | HUMANA REFORMA | — |
| 01 | — | 79809 | CFSE | — |
| 01 | — | 870044 | MMM | — |
| 01 | — | M000409 | MEN | — |