Organization
ADVANCED PHYSIOTHERAPY CENTER COPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA IVELLISE CRUZ MSPT (PRESIDENT)
(787) 926-1790
Entity
Organization
Contact information
Practice address
526 AVE EMERITO ESTRADA, SUITE 2, SAN SEBASTIAN, PR 00685-3119
(787) 926-1790
(787) 926-1790
Mailing address
PO BOX 2839, MOCA, PR 00676-2839
(787) 926-1790
(787) 926-1790
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1365
PR
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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