# GRUPO FISIATRICO Y TERAPIA FISICA CSP

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

## Provider details

- **NPI number:** 1114965837
- **Authorized official:** MRS. LIVIA R GARCIA (ADMINISTRATOR)
- **Authorized official phone:** (787) 834-3838

## Contact information

- **Practice address:** CALLE PERAL, \#36, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 834-3838
- **Practice address fax:** (787) 832-8822
- **Mailing address:** PO BOX 3390, MAYAGUEZ, PR 00681
- **Mailing address phone:** (787) 834-3838
- **Mailing address fax:** (787) 832-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 08/22/2020