# CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA SAN SEBASTIAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IDALYSA MORALES RAMOS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336359751
- **Authorized official:** MS. IDALYSA MORALES RPT (PHYSICAL THERAPIST OWNER)
- **Authorized official phone:** (787) 896-2335

## Contact information

- **Practice address:** CALLE JOSE MENDEZ CARDONA \#3, SAN SEBASTIAN, PR 00678
- **Practice address phone:** (787) 896-2335
- **Practice address fax:** (787) 896-2335
- **Mailing address:** URB EL RETIRO CALLE 2 C-5, QUEBRADILLAS, PR 00678
- **Mailing address phone:** (787) 896-2335
- **Mailing address fax:** (787) 896-2335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1168 | PR | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 05/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | $$$$$$$$$ | SSN | PR |
| 01 | — | 1023049665 | NPI INDIVIDUO | PR |