# CENTRO DE TERAPIA FISICA DE LA MONTANA

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

## Provider details

- **NPI number:** 1982894432
- **Authorized official:** PROF. ELOISA ZAYAS RPT (PHYSICAL THERAPY)
- **Authorized official phone:** (787) 869-7927

## Contact information

- **Practice address:** CARR 152 KM 12.5 BO. CEDRO ARRIBA, NARANJITO, PR 00719-9721
- **Practice address phone:** (787) 869-7927
- **Practice address fax:** (787) 869-5873
- **Mailing address:** HC-72 BOX 4047, NARANJITO, PR 00719-9721
- **Mailing address phone:** (787) 869-7927
- **Mailing address fax:** (787) 869-5873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | 774 | PR | — |
| 261QP2000X | Physical Therapy Clinic/Center | 774 | PR | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 07/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5-5593 | MEDICARE | PR |