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Organization
CENTRO DE TERAPIA MUSCULAR LLC
Active
Organization
CENTRO DE TERAPIA MUSCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL O MARTINEZ LUGO LMT (MANAGER)
(787) 949-6590
Entity
Organization
Contact information
Practice address
740 AVENIDA DE HOSTOS CARRETERA 2, MEDICAL CENTER PLAZA SUITE 212, MAYAGUEZ, PR 00680
(787) 949-6590
Mailing address
740 AVENIDA DE HOSTOS CARRETERA 2, MEDICAL CENTER PLAZA SUITE 212, MAYAGUEZ, PR 00680
(787) 949-6590
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962905281
NPI
—
Enumeration date
07/17/2018
Last updated
07/17/2018
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