# VICTORIA MARIEL THERAPY LLC

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

## Provider details

- **NPI number:** 1629552419
- **Authorized official:** MRS. AGNES M RAMOS (PRESIDENTA)
- **Authorized official phone:** (787) 651-6714

## Contact information

- **Practice address:** 959 CALLE MUNOZ RIVERA, PENUELAS, PR 00624-1401
- **Practice address phone:** (787) 651-6714
- **Practice address fax:** (787) 651-6714
- **Mailing address:** PO BOX 68, PENUELAS, PR 00624-0068
- **Mailing address phone:** (787) 651-6714
- **Mailing address fax:** (787) 651-6714

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2018
- **Last updated:** 09/18/2018
