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Organization
REHABIBILITACION PONCE DE LEON CLINICA DE TERAPIA FISICA
Active
Organization
REHABIBILITACION PONCE DE LEON CLINICA DE TERAPIA FISICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGARDO ACOSTA SR. (ADMINISTRDOR)
(787) 856-5272
Entity
Organization
Contact information
Practice address
42 CALLE MATTEI LLUBERAS, SUITE 1, YAUCO, PR 00698-3630
(787) 856-5272
(787) 856-8421
Mailing address
42 CALLE MATTEI LLUBERAS, SUITE 1, YAUCO, PR 00698-3630
(787) 856-5272
(787) 856-8421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0731
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084104
TRIPLE S
PR
Enumeration date
09/14/2005
Last updated
08/22/2020
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