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General NPI Number Information
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NPI Number | 1073081238
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Entity Type | Individual
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Provider Name | YOLANDA SANTOS LUNA PT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 417 CARR 14 BO ASOMANTE
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-903-3143
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Fax |
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Provider Business Mailing Address
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Address Line | HC 43 BOX 11452
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City | CAYEY
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State | PR
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Zip | 00736-9214
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Country | US
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Telephone | 787-903-3143
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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