Provider Demographics
NPI:1518956317
Name:CENTRO DE TERAPIA F DE NARANJITO
Entity Type:Organization
Organization Name:CENTRO DE TERAPIA F DE NARANJITO
Other - Org Name:JOSE E ARIAS BENABE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISIATRA
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARIAS BENABE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-869-7122
Mailing Address - Street 1:PO BOX 2760
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2760
Mailing Address - Country:US
Mailing Address - Phone:787-869-4747
Mailing Address - Fax:787-869-7122
Practice Address - Street 1:73 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3026
Practice Address - Country:US
Practice Address - Phone:787-869-4747
Practice Address - Fax:787-869-7122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7170208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D08487Medicare UPIN
PR0081073Medicare PIN