Organization
UNIVERSAL THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO LOPEZ (CEO)
(787) 723-8784
Entity
Organization
Contact information
Practice address
1610 AVE PONCE DE LEON, SAN JUAN, PR 00909-1844
(787) 723-8784
(787) 723-8470
Mailing address
PO BOX 79691, CAROLINA, PR 00984-9691
(787) 723-8784
(787) 723-8470
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
09
PR
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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