# HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1790964211
- **Authorized official:** MRS. CARMEN IRIS LOPEZ-ACEVEDO RPT (SUPERVISOR)
- **Authorized official phone:** (787) 833-3100

## Contact information

- **Practice address:** 410 AVE HOSTOS, SUITE 1, MAYAGUEZ, PR 00682-1560
- **Practice address phone:** (787) 832-3100
- **Mailing address:** 140 LIGHTHOUSE DR, AGUADILLA, PR 00603-1330
- **Mailing address phone:** (787) 890-0237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 663 | PR | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 10/31/2007