# CLINICA DE TERAPIA FISICA Y REHABILITACION GENESIS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1386464600
- **Authorized official:** MS. LUZ C BUTLER MOYA DR (TERAPISTA FISICO)
- **Authorized official phone:** (787) 895-4633

## Contact information

- **Practice address:** CARR \#2 KM 100 BO CACAO, QUEBRADILLAS, PR 00678-0980
- **Practice address phone:** (787) 895-4633
- **Practice address fax:** (787) 895-4490
- **Mailing address:** PO BOX 980, QUEBRADILLAS, PR 00678-0980
- **Mailing address phone:** (787) 895-4633
- **Mailing address fax:** (787) 895-4490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1346245032 | — | PR |
| 05 | — | 1609985621 | — | PR |