Organization
PHYTHERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS JAVIER OQUENDO HERNANDEZ (PRESIDENT)
(787) 421-8036
Entity
Organization
Contact information
Practice address
100 GRAND BLVD, SUITE 402, SAN JUAN, PR 00926
(787) 421-8036
Mailing address
PO BOX 803, GUAYNABO, PR 00970-0803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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