MEDICARE: NYDIA ARIAS PT

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	225100000X	Physical Therapist	296	PR

General Provider Information

NPI Number	:	1992952733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYDIA ARIAS PT

Provider Business Mailing Address
First Line	:	PO BOX 22369
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00931-2369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 AVE AMERICO MIRANDA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-1619
Country	:	US
Telephone Number	:	787-783-1560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2008
Last Update Date	:	08/22/2008

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