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Organization

CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA BELLA VISTA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NELKY J. LUGO R.P.T. (PHYSICAL THERAPIST)
(787) 279-1496
Entity
Organization

Contact information

Practice address
ROUTE 167 CENTRO COM. BELLA VISTA GDNS, SUITE 14-A, BAYAMON, PR 00957-6053
(787) 279-1496
(787) 279-1496
Mailing address
PO BOX 6515, SANTA ROSA UNIT, BAYAMON, PR 00960-5515
(787) 279-1496
(787) 279-1496

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
403
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20470
AMERICAN HEALTH
PR
01
223015
PREFERRED HEALTH PLANS
PR
01
5805
INTERNATIONAL MEDICAL CAR
PR
01
870057
MEDICARE Y MUCHO MAS
PR
01
9600108
HUMANA HEALTH PLANS
PR
Enumeration date
10/13/2006
Last updated
02/28/2013
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