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General NPI Number Information
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NPI Number | 1194642827
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Entity Type | Organization
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Legal Business Name | FITNESS REVOLUTION LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | URB. ALTURAS VILLAS DEL REY CALLE 28 J14
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-463-7357
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Fax |
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Provider Business Mailing Address
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Address Line | URB. ALTURAS VILLAS DEL REY
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-463-7357
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Fax |
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Authorized Official
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Title or Position | PHISICAL THERAPIST
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Name | GRENEL QUINONES LOPEZ
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Credential |
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Telephone | 787-463-7357
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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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