# INSTITUTO TERAPEUTICO PONCE

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

## Provider details

- **NPI number:** 1457466872
- **Authorized official:** MANUEL RUBIO (VICE PRESIDENT)
- **Authorized official phone:** (787) 848-4445

## Contact information

- **Practice address:** AVENUE EMILO FAGOT, \# 278, PONCE, PR 00733-6930
- **Practice address phone:** (786) 543-2948
- **Practice address fax:** (787) 284-5380
- **Mailing address:** PO BOX 336930, PONCE, PR 00733-6930
- **Mailing address phone:** (786) 543-2948
- **Mailing address fax:** (787) 284-5380

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020