Healthcare Provider Details

I. General information

NPI: 1861764151
Provider Name (Legal Business Name): ES PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2012
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 CALLE SAN PATRICIO
LOIZA PR
00772-1750
US

IV. Provider business mailing address

PO BOX 1540
FAJARDO PR
00738-1540
US

V. Phone/Fax

Practice location:
  • Phone: 787-886-3398
  • Fax: 787-886-3399
Mailing address:
  • Phone: 787-413-9789
  • Fax: 787-886-3399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number855
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVELYN SANTOS
Title or Position: PRESIDENT
Credential: RPT
Phone: 787-413-9789