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NPI Code Detail

MEDICARE: CENTRO DE TERAPIA FISICA DEL NORESTE INC

MEDICARE: CENTRO DE TERAPIA FISICA DEL NORESTE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1467445585
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRO DE TERAPIA FISICA DEL NORESTE INC
Provider Business Mailing Address
First Line : 972 CALLE BAUHINIA
Second Line : LOIZA VALLEY
City : CANOVANAS
State : PR
Zip : 00729-3410
Country : US
Telephone Number : 787-876-0250
Fax Number :
Provider Business Practice Location Address
First Line : 972 CALLE BAUHINIA
Second Line : LOIZA VALLEY
City : CANOVANAS
State : PR
Zip : 00729-3410
Country : US
Telephone Number : 787-876-0250
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : GWENDOLLYN FELICIANO
Credential :
Telephone Number : 787-876-0250
Provider Enumeration Date : 08/24/2005
Last Update Date : 08/22/2020

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Directions to “CENTRO DE TERAPIA FISICA DEL NORESTE INC ” Practice Location

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