Healthcare Provider Details

I. General information

NPI: 1467375774
Provider Name (Legal Business Name): ISLA MOTION REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE J ESQUINA CALLE B EDIF. MEDICO HERMANAS DAVILA OFICINA 204
BAYAMON PR
00959-5046
US

IV. Provider business mailing address

CALLE J ESQUINA CALLE B EDIF. MEDICO HERMANAS DAVILA OFICINA 204
BAYAMON PR
00959-5046
US

V. Phone/Fax

Practice location:
  • Phone: 787-780-3893
  • Fax:
Mailing address:
  • Phone: 787-780-3893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: VALERIA LOZADA MIRANDA
Title or Position: OWNER
Credential: MD
Phone: 787-568-4735