# CLINICA DE FISIOTERAPIA Y REHABILITACION DE LA MONTANA

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

## Provider details

- **NPI number:** 1992907950
- **Authorized official:** HECTOR A RODRIGUEZ (FISIOTERAPISTA)
- **Authorized official phone:** (787) 894-3987

## Contact information

- **Practice address:** A2 URB CABRERA, UTUADO, PR 00641-2212
- **Practice address phone:** (787) 894-3987
- **Practice address fax:** (787) 814-1105
- **Mailing address:** PO BOX 101, UTUADO, PR 00641-0101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1078 | PR | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 07/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | N760 | INTERNATIONAL MEDICAL CAR | PR |