MEDICARE: MARIA E BALLESTER AROCHO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1740978378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA E BALLESTER AROCHO

Provider Business Mailing Address
First Line	:	PO BOX 8936
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910-0936
Country	:	US
Telephone Number	:	787-725-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1449 CALLE AMERICO SALAS STE 101
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00909-2104
Country	:	US
Telephone Number	:	787-722-1717
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA E BALLESTER AROCHO
Credential	:
Telephone Number	:	787-486-9495

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	05/01/2023

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