Healthcare Provider Details

I. General information

NPI: 1376533364
Provider Name (Legal Business Name): JANET ALMODOVAR VELEZ P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214-11 CALLE 506 VILLA CAROLINA
CAROLINA PR
00985-3039
US

IV. Provider business mailing address

PO BOX 1594
CAROLINA PR
00984-1594
US

V. Phone/Fax

Practice location:
  • Phone: 939-639-4166
  • Fax: 787-276-7853
Mailing address:
  • Phone: 939-639-4166
  • Fax: 787-276-7853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1187
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: