Organization
HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN IRIS LOPEZ-ACEVEDO RPT (SUPERVISOR)
(787) 833-3100
Entity
Organization
Contact information
Practice address
410 AVE HOSTOS, SUITE 1, MAYAGUEZ, PR 00682-1560
(787) 832-3100
Mailing address
140 LIGHTHOUSE DR, AGUADILLA, PR 00603-1330
(787) 890-0237
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
663
PR
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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