Organization
CENTRO DE TERAPIA FISICA DE LARES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIZETTE I CORDERO RPT (PRESIDENT/PHYSICAL TERAPIST)
(787) 898-5885
Entity
Organization
Contact information
Practice address
CARR. 129 KM. 13.6, BO. BAYANEY, HATILLO, PR 00659-0000
(787) 898-5885
(787) 898-5885
Mailing address
REPARTO MARQUEZ, G-26 CALLE 9, ARECIBO, PR 00612-0000
(787) 898-5885
(787) 898-5885
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
871
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238022
PREFERRED HEALTH
PR
01
—
3303349
ACAA
PR
01
—
3583548
PLAN UIA
PR
01
—
6400182
HUMANA
PR
01
—
89222
TRIPLE-S
PR
01
—
9004126
CRUZ AZUL
PR
Enumeration date
07/09/2005
Last updated
04/20/2008
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