# LUZ C BUTLER MOYA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Clinica de Terapia Fisica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609985621
- **Authorized official:** MRS. LUZ C BUTLER MOYA MS TERAPIA FISICA (ADMINISTRADORA)
- **Authorized official phone:** (787) 846-4121

## Contact information

- **Practice address:** CARR \#2 KM 55.2, BO PALENQUE, BARCELONETA, PR 00617
- **Practice address phone:** (787) 895-4633
- **Practice address fax:** (787) 895-4490
- **Mailing address:** PO BOX 430, BARCELONETA, PR 00617-0430
- **Mailing address phone:** (787) 846-4121
- **Mailing address fax:** (787) 846-5661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 909 | PR | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50015A | PMC | PR |
| 01 | — | 6400239 | HUMANA | — |
| 01 | — | 870027 | MMM | PR |