# PHYTHERAPIST LLC

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

## Provider details

- **NPI number:** 1407716699
- **Authorized official:** CARLOS JAVIER OQUENDO HERNANDEZ (PRESIDENT)
- **Authorized official phone:** (787) 421-8036

## Contact information

- **Practice address:** 100 GRAND BLVD, SUITE 402, SAN JUAN, PR 00926
- **Practice address phone:** (787) 421-8036
- **Mailing address:** PO BOX 803, GUAYNABO, PR 00970-0803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2025
- **Last updated:** 11/12/2025