Organization
INSTITUTO TERAPEUTICO MULTIDISCIPLINARIO DE PUERTO RICO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO G TORRES (VICEPRESIDENT)
(787) 462-8058
Entity
Organization
Contact information
Practice address
CARR 149 KM 66.9 BO LOMAS, JUANA DIAZ, PR 00795
(787) 913-7777
Mailing address
PO BOX 777, MERCEDITA, PR 00715-0777
(787) 462-8058
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/11/2016
Last updated
08/10/2016
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