# CLINICA TERAPIA FISICA ISLA VERDE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Terapia Fisica Isla Verde
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215354261
- **Authorized official:** LISSETTE M ACOSTA RIVERA (ADMINISTRADORA)
- **Authorized official phone:** (787) 253-0396

## Contact information

- **Practice address:** AVE LAGUNA, SUITE 116, CAROLINA, PR 00979-6525
- **Practice address phone:** (787) 253-0396
- **Practice address fax:** (787) 791-5104
- **Mailing address:** PO BOX 1917, TRUJILLO ALTO, PR 00977-1917
- **Mailing address phone:** (787) 253-0396
- **Mailing address fax:** (787) 191-5104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 03/27/2014