Provider Demographics
NPI:1568799807
Name:ADVANCED PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ADVANCED PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:787-219-7866
Mailing Address - Street 1:PO BOX 2803
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:URB JARDINES DE LA REINA
Practice Address - Street 2:CALLE FLOR DE NACAR
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00785-9998
Practice Address - Country:US
Practice Address - Phone:787-219-7866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1332251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0058514Medicare PIN