Healthcare Provider Details

I. General information

NPI: 1780944769
Provider Name (Legal Business Name): PPTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 05/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C2 CAMINO ALEJANDRINO URB. VILLA CLEMENTINA
GUAYNABO PR
00969-4704
US

IV. Provider business mailing address

100 GRAND BOULEVARD PASEOS SUITE 112-248
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-283-1554
  • Fax: 787-993-1490
Mailing address:
  • Phone: 787-283-1554
  • Fax: 787-993-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number929
License Number StatePR

VIII. Authorized Official

Name: MR. CARLOS JOSE RIVERA
Title or Position: PT
Credential: RPT
Phone: 787-283-1554