# TERAPIA FISICA MOVIMIENTO ES VIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TERAPIA FISICA MOVIMIENTO ES VIDA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295046852
- **Authorized official:** MRS. MARIA ESTHER LUCIANO PT (PHYSICAL TERAPIST/ OWNER)
- **Authorized official phone:** (787) 877-1213

## Contact information

- **Practice address:** EDIFICIO DON PABLO CARR 110 KM 12.8, BO. PUEBLO, MOCA, PR 00676
- **Practice address phone:** (787) 877-1213
- **Practice address fax:** (787) 877-1213
- **Mailing address:** PO BOX 1088, MOCA, PR 00676
- **Mailing address phone:** (787) 877-1213
- **Mailing address fax:** (787) 877-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1238 | PR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 1238 | PR | Yes |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 02/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1073630828 | NPI | PR |