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Organization

REHABIBILITACION PONCE DE LEON CLINICA DE TERAPIA FISICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDGARDO ACOSTA SR. (ADMINISTRDOR)
(787) 856-5272
Entity
Organization

Contact information

Practice address
42 CALLE MATTEI LLUBERAS, SUITE 1, YAUCO, PR 00698-3630
(787) 856-5272
(787) 856-8421
Mailing address
42 CALLE MATTEI LLUBERAS, SUITE 1, YAUCO, PR 00698-3630
(787) 856-5272
(787) 856-8421

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0731
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084104
TRIPLE S
PR
Enumeration date
09/14/2005
Last updated
08/22/2020
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