Organization
CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA SAN SEBASTIAN
Active
Other names
IDALYSA MORALES RAMOS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IDALYSA MORALES RPT (PHYSICAL THERAPIST OWNER)
(787) 896-2335
Entity
Organization
Contact information
Practice address
CALLE JOSE MENDEZ CARDONA #3, SAN SEBASTIAN, PR 00678
(787) 896-2335
(787) 896-2335
Mailing address
URB EL RETIRO CALLE 2 C-5, QUEBRADILLAS, PR 00678
(787) 896-2335
(787) 896-2335
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1168
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
PR
01
—
1023049665
NPI INDIVIDUO
PR
Enumeration date
05/23/2007
Last updated
05/21/2020
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