Organization
CENTRO DE TERAPIA FISICA Y ATLETICA NUEVA VIDA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVELISSE MILLET SANTIAGO MSPT (OWNER)
(787) 544-6888
Entity
Organization
Contact information
Practice address
462 ATLANTIC VIEW BUILDIN SUITE 2, CARRETERA 2 KM 83.5 MARGINAL CARRIZALES, HATILLO, PR 00659-0000
(787) 544-6888
(787) 544-6888
Mailing address
PO BOX 141024, ARECIBO, PR 00614-1024
(787) 544-6888
(787) 544-6888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
05/15/2015
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