# MYRNA CORDOVA SANTIAGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Instituto de Terapia Fisica 2000
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316131089
- **Authorized official:** MRS. MYRNA I CORDOVA RPT (OWNER PHYSICAL THERAPIST)
- **Authorized official phone:** (787) 858-4845

## Contact information

- **Practice address:** CARR \#2 KM 405 PLAZA JARDINES, VEGA BAJA, PR 00693
- **Practice address phone:** (787) 858-4845
- **Mailing address:** PO BOX 4375, VEGA BAJA, PR 00694-4375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 655 | PR | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 06/25/2008