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Organization
LUZ C BUTLER MOYA
Active
Organization
LUZ C BUTLER MOYA
Active
Other names
dba Clinica de Terapia Fisica
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ C BUTLER MOYA MS TERAPIA FISICA (ADMINISTRADORA)
(787) 846-4121
Entity
Organization
Contact information
Practice address
CARR #2 KM 55.2, BO PALENQUE, BARCELONETA, PR 00617
(787) 895-4633
(787) 895-4490
Mailing address
PO BOX 430, BARCELONETA, PR 00617-0430
(787) 846-4121
(787) 846-5661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
909
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50015A
PMC
PR
01
—
6400239
HUMANA
—
01
—
870027
MMM
PR
Enumeration date
08/30/2006
Last updated
12/17/2013
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