# CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA BELLA VISTA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619067089
- **Authorized official:** MS. NELKY J. LUGO R.P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (787) 279-1496

## Contact information

- **Practice address:** ROUTE 167 CENTRO COM. BELLA VISTA GDNS, SUITE 14-A, BAYAMON, PR 00957-6053
- **Practice address phone:** (787) 279-1496
- **Practice address fax:** (787) 279-1496
- **Mailing address:** PO BOX 6515, SANTA ROSA UNIT, BAYAMON, PR 00960-5515
- **Mailing address phone:** (787) 279-1496
- **Mailing address fax:** (787) 279-1496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 403 | PR | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 02/28/2013

## 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 |