Organization
PHYSICAL THERAPY SERVICES INC
Active
Other names
Puerto Rico Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MALDONADO RPH, CPOA, CFOM,CDME (PRESIDENT)
(787) 854-5055
Entity
Organization
Contact information
Practice address
ATENAS MEDICAL & SHOPPING CENTER, URB. ATENAS SUITE 4 & 6, MANATI, PR 00674-4616
(787) 854-5055
(787) 807-2299
Mailing address
PO BOX 56, MANATI, PR 00674-0056
(787) 854-5055
(787) 807-2299
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C15272
MD
224P00000X
Prosthetist
C15272
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0841050001
MEDICARE NSC
PR
01
—
1780656413
PROSAM
PR
01
—
55042
TRIPLE S
PR
Enumeration date
02/06/2006
Last updated
10/04/2018
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