# CLINICA DE TERAPIA MANUAL, CRL

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

## Provider details

- **NPI number:** 1639490147
- **Authorized official:** MR. NOEL A. MARTINEZ (PRESIDENT)
- **Authorized official phone:** (787) 306-2764

## Contact information

- **Practice address:** 576 CESAR GONZALEZ AVE. SUITE 504, DORAL BANK CENTER, SAN JUAN, PR 00918
- **Practice address phone:** (787) 306-2764
- **Mailing address:** URB PASEO JACARANDA C/ UCAR 15031, SANTA ISABEL, PR 00757-9600
- **Mailing address phone:** (787) 306-2764

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2010
- **Last updated:** 06/18/2010