Organization
CENTRO TERAPIA FISICA RIVERA NIEVES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIANA RIVERA NIEVES THERAPIST (OWNER FOR THERAPY CENTER)
(787) 883-3939
Entity
Organization
Contact information
Practice address
ST. 693 BARRIO BRENAS, SUITE NO 271, VEGA ALTA, PR 00692
(787) 883-3939
(787) 270-4933
Mailing address
PO BOX 19, DORADO, PR 00646-0019
(787) 883-3939
(787) 270-4933
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1046
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0422-1
ACAA
PR
01
—
56632
SSS-REFORMA
PR
01
—
P715
INTL. MEDICAL CARD
PR
Enumeration date
12/21/2006
Last updated
03/19/2012
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