# JUANITA LOPEZ ORTIZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Terapia Fisica RAMELEN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669749826
- **Authorized official:** MRS. JUANITA LOPEZ ORTIZ RPT (OWNER)
- **Authorized official phone:** (787) 732-6787

## Contact information

- **Practice address:** CARRETERA 156 KM.49.5, BARRIO SUMIDERO, AGUAS BUENAS, PR 00703
- **Practice address phone:** (787) 732-6787
- **Practice address fax:** (787) 732-6787
- **Mailing address:** PO BOX 621, AGUAS BUENAS, PR 00703-0621
- **Mailing address phone:** (787) 732-6787
- **Mailing address fax:** (787) 732-6787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 935 | PR | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1003139015 | NPI (INDIVIDUAL) | PR |