MEDICARE: MRS. MARY FRANCI ASTOR RPT, MPT

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
1	225100000X	Physical Therapist	1324	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	890933	OTHER	PR	MEDICARE Y MUCHO MAS
6	51126	OTHER	PR	PREFERRED MEDICARE CHOICE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6120246	OTHER	PR	HUMANA
2	584814941	OTHER	PR	FIRST PLUS
4	584814941	OTHER	PR	MCS CLASSIC CARE
5	57140	OTHER	PR	SSS SELECTO / OPTIMO

General Provider Information

NPI Number	:	1609984962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY FRANCI ASTOR RPT, MPT

Provider Business Mailing Address
First Line	:	PO BOX 144036
Second Line	:
City	:	ARECIBO
State	:	PR
Zip	:	00614-4036
Country	:	US
Telephone Number	:	787-224-4185
Fax Number	:	787-898-2187

Provider Business Practice Location Address
First Line	:	CARR 2 KM 62.8
Second Line	:	SECTOR CANDELARIA
City	:	ARECIBO
State	:	PR
Zip	:	00612-0000
Country	:	US
Telephone Number	:	787-420-7621
Fax Number	:	787-881-5572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	01/06/2010

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