Provider Demographics
NPI:1083953715
Name:TERAPIA FISICA PALERMO INC
Entity Type:Organization
Organization Name:TERAPIA FISICA PALERMO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DUENO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALERMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-615-9674
Mailing Address - Street 1:JARDINES DE CAGUAS
Mailing Address - Street 2:CALLE I K 12
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-4317
Mailing Address - Country:US
Mailing Address - Phone:787-615-9674
Mailing Address - Fax:
Practice Address - Street 1:JARDINES DE CAGUAS
Practice Address - Street 2:CALLE I K 12
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-4317
Practice Address - Country:US
Practice Address - Phone:787-615-9674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty