# CENTRO DE TERAPIA FISICA Y ELECTRODIAGNOSTICO INC

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

## Provider details

- **NPI number:** 1912025016
- **Authorized official:** EDGAR BAUCAGE GARCIA MD (OWNER)
- **Authorized official phone:** (787) 877-3466

## Contact information

- **Practice address:** CALLE CONCEPCION VERA AYALA, 550, MOCA, PR 00676-0068
- **Practice address phone:** (787) 877-3466
- **Practice address fax:** (787) 551-7316
- **Mailing address:** PO BOX 1298, AGUADILLA, PR 00605-1298
- **Mailing address phone:** (787) 877-3466
- **Mailing address fax:** (787) 551-7316

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/02/2013
