Organization
CENTRO FISIATRICO Y REHABILITACION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE M. ACOSTA RIVERA (PRESIDENTA)
(787) 453-0050
Entity
Organization
Contact information
Practice address
CAROLINA SHOPP CTR, LOCAL 26A, CAROLINA, PR 00985-5672
(787) 757-3939
Mailing address
PO BOX 20897, SAN JUAN, PR 00928-0897
(787) 757-3939
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
05/09/2014
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