Provider Demographics
NPI:1558689356
Name:CENTRO DE TERAPIA FISICA Y REHABILITACION DEL OESTE, INC.
Entity Type:Organization
Organization Name:CENTRO DE TERAPIA FISICA Y REHABILITACION DEL OESTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-365-1623
Mailing Address - Street 1:HC 59 BOX 5335
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9640
Mailing Address - Country:US
Mailing Address - Phone:787-365-1623
Mailing Address - Fax:
Practice Address - Street 1:HC 59 BOX 5335
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9640
Practice Address - Country:US
Practice Address - Phone:787-365-1623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty