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Organization
CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA BELLA VISTA INC
Active
Organization
CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA BELLA VISTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELKY J. LUGO R.P.T. (PHYSICAL THERAPIST)
(787) 279-1496
Entity
Organization
Contact information
Practice address
ROUTE 167 CENTRO COM. BELLA VISTA GDNS, SUITE 14-A, BAYAMON, PR 00957-6053
(787) 279-1496
(787) 279-1496
Mailing address
PO BOX 6515, SANTA ROSA UNIT, BAYAMON, PR 00960-5515
(787) 279-1496
(787) 279-1496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
403
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20470
AMERICAN HEALTH
PR
01
—
223015
PREFERRED HEALTH PLANS
PR
01
—
5805
INTERNATIONAL MEDICAL CAR
PR
01
—
870057
MEDICARE Y MUCHO MAS
PR
01
—
9600108
HUMANA HEALTH PLANS
PR
Enumeration date
10/13/2006
Last updated
02/28/2013
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