Provider Demographics
NPI:1518241389
Name:MONTENEGRO, ROSAMARIA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:ROSAMARIA
Middle Name:
Last Name:MONTENEGRO
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:CRISANTEMO IG-2 ROYAL PALM URB ROYAL PALM
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3111
Mailing Address - Country:US
Mailing Address - Phone:787-366-1401
Mailing Address - Fax:
Practice Address - Street 1:CALLE 9 D-33 URBANIZACION VALPARAISO
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4037
Practice Address - Country:US
Practice Address - Phone:787-366-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist