# ADVANCED PHYSIOTHERAPY CENTER COPR

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

## Provider details

- **NPI number:** 1245578905
- **Authorized official:** MRS. WANDA IVELLISE CRUZ MSPT (PRESIDENT)
- **Authorized official phone:** (787) 926-1790

## Contact information

- **Practice address:** 526 AVE EMERITO ESTRADA, SUITE 2, SAN SEBASTIAN, PR 00685-3119
- **Practice address phone:** (787) 926-1790
- **Practice address fax:** (787) 926-1790
- **Mailing address:** PO BOX 2839, MOCA, PR 00676-2839
- **Mailing address phone:** (787) 926-1790
- **Mailing address fax:** (787) 926-1790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1365 | PR | Yes |

## Other

- **Enumeration date:** 01/30/2013
- **Last updated:** 01/30/2013