Organization
CENTRO TERAPIA FISICA REXVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA I JIMENEZ-MONT (ADMINISTRATOR)
(787) 306-3229
Entity
Organization
Contact information
Practice address
BC7 CALLE 33, REXVILLE, BAYAMON, PR 00957-4144
(787) 306-3229
Mailing address
RR 4 BOX 26936, TOA ALTA, PR 00953-9414
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
562
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223230
PREFERRED HEALTH
PR
01
—
4141
AMERICAN HEALTH
PR
01
—
P611
INT MEDICAL CARD
PR
Enumeration date
05/08/2007
Last updated
08/07/2008
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