# CLINICA DE TERAPIA FISICA VILLA REAL INC

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

## Provider details

- **NPI number:** 1811202161
- **Authorized official:** DR. JAVIER RIVERA MD (PRESIDENTE)
- **Authorized official phone:** (787) 644-4499

## Contact information

- **Practice address:** CARR 2 MARGINAL D18, URB VILLA REAL, VEGA BAJA, PR 00693-0000
- **Practice address phone:** (787) 654-8400
- **Mailing address:** PO BOX 1423, VEGA BAJA, PR 00694-1423
- **Mailing address phone:** (787) 654-8400

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 08/11/2010