Organization
CENTRO DE TERAPIA FISICA DE LA MONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ELOISA ZAYAS RPT (PHYSICAL THERAPY)
(787) 869-7927
Entity
Organization
Contact information
Practice address
CARR 152 KM 12.5 BO. CEDRO ARRIBA, NARANJITO, PR 00719-9721
(787) 869-7927
(787) 869-5873
Mailing address
HC-72 BOX 4047, NARANJITO, PR 00719-9721
(787) 869-7927
(787) 869-5873
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
774
PR
261QP2000X
Physical Therapy Clinic/Center
Primary
774
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5-5593
MEDICARE
PR
Enumeration date
07/31/2007
Last updated
07/31/2007
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