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General NPI Number Information
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NPI Number | 1083225809
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Entity Type | Organization
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Legal Business Name | CENTRO DE TERAPIA FISICA DEL NORTE LLC
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | CARR. #2 KM. 94.5 BO. YEGUADA
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-820-4776
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Fax | 787-820-4776
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Provider Business Mailing Address
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Address Line | HC 2 BOX 25777
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-820-4776
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Fax | 787-466-6047
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Authorized Official
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Title or Position | PRESIDENT
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Name | PEDRO A RIVERA
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Credential |
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Telephone | 787-820-4776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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