# CENTRO DE TERAPIA FISICA RENACER, CSP

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

## Provider details

- **NPI number:** 1386852770
- **Authorized official:** ELIZABETH PORTALATIN PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (787) 817-0979

## Contact information

- **Practice address:** CARR 129 KM 8.5, HATILLO, PR 00659-6900
- **Practice address phone:** (787) 817-0979
- **Mailing address:** PO BOX 9907, ARECIBO, PR 00613-9907
- **Mailing address phone:** (787) 817-0979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 0970 | PR | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 12/30/2015