Healthcare Provider Details

I. General information

NPI: 1861336083
Provider Name (Legal Business Name): HOLISTIC BALANCE, PHYSICAL THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB SANTA ROSA MARGINAL CARR #2 BLOQUE 51
BAYAMON PR
00959
US

IV. Provider business mailing address

PO BOX 55263 ST1
BAYAMON PR
00960
US

V. Phone/Fax

Practice location:
  • Phone: 787-948-7757
  • Fax:
Mailing address:
  • Phone: 787-948-7757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. CESAR JOSE CRUZ LAUREANO
Title or Position: PRESIDENT
Credential: DPT
Phone: 787-948-7757