Provider Demographics
NPI:1316592322
Name:PHYSIOTHERAPY & WELLNESS, CSP
Entity Type:Organization
Organization Name:PHYSIOTHERAPY & WELLNESS, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RIVERA AROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:787-827-1213
Mailing Address - Street 1:PO BOX 713
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-0713
Mailing Address - Country:US
Mailing Address - Phone:787-827-1213
Mailing Address - Fax:787-827-1213
Practice Address - Street 1:CARR 124 KM 1.0
Practice Address - Street 2:CALLE FORTUNATO #4
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00670
Practice Address - Country:US
Practice Address - Phone:787-827-1213
Practice Address - Fax:787-827-1213
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSIOTHERAPY & WELLNESS, CSP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy