# CENTRO DE TERAPIA FISICA LOS LLANOS CORP

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

## Provider details

- **NPI number:** 1043424138
- **Authorized official:** MISS FRANCIS JANNETTE RODRIGUEZ RPT REGISTERED PHYSI (PRESIDENT)
- **Authorized official phone:** (787) 627-3866

## Contact information

- **Practice address:** CARR 14 KM 26.9 LOS LLANOS, COAMO, PR 00769
- **Practice address phone:** (787) 825-3430
- **Practice address fax:** (787) 752-6050
- **Mailing address:** PO BOX 4342, CAROLINA, PR 00984-4342
- **Mailing address phone:** (787) 825-3430
- **Mailing address fax:** (787) 752-6050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1209 | PR | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 870063 | MMM | PR |
| 01 | — | A660 | FIRST MEDICAL | PR |