Provider Demographics
NPI:1093305161
Name:RIJOS FIGUEROA, CARMEN LYDIA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:LYDIA
Last Name:RIJOS FIGUEROA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PUERTO NUEVO
Mailing Address - Street 2:1017 ALESIA ST
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-501-6633
Mailing Address - Fax:
Practice Address - Street 1:URB PUERTO NUEVO
Practice Address - Street 2:1017 ALESIA ST
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-501-6633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR764225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty