Healthcare Provider Details

I. General information

NPI: 1447078605
Provider Name (Legal Business Name): THERAPRO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 735 KM 0.5
CAYEY PR
00736
US

IV. Provider business mailing address

475 CARR 8860 # APP2386
TRUJILLO ALTO PR
00976-5401
US

V. Phone/Fax

Practice location:
  • Phone: 787-467-7459
  • Fax:
Mailing address:
  • Phone: 787-467-7459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DENIEL O RIVERA MARTINEZ
Title or Position: DOCTORADO EN TERAPUA FISICA
Credential: DPT
Phone: 787-467-7459