Individual
MRS. CARMEN LUISA RENOVALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
CALLE 59, BLOQUE 71 #12 SIERRA BAYAMON, BAYAMON, PR 00961-0000
(787) 565-4790
(787) 778-4294
Mailing address
CALLE 59, BLOQUE 71 #12 SIERRA BAYAMON, BAYAMON, PR 00961-0000
(787) 565-4790
(787) 778-4294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00623
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00623
PHYSICAL THERAPIST LICENC
PR
Enumeration date
10/04/2006
Last updated
06/29/2009
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