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Organization

CLINICA DE TERAPIA FISICA Y REHABILITACION GENESIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LUZ C BUTLER MOYA DR (TERAPISTA FISICO)
(787) 895-4633
Entity
Organization

Contact information

Practice address
CARR #2 KM 100 BO CACAO, QUEBRADILLAS, PR 00678-0980
(787) 895-4633
(787) 895-4490
Mailing address
PO BOX 980, QUEBRADILLAS, PR 00678-0980
(787) 895-4633
(787) 895-4490

Taxonomy

Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346245032
PR
05
1609985621
PR
Enumeration date
10/11/2024
Last updated
10/21/2024
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