Provider Demographics
NPI:1609984962
Name:ASTOR, MARY FRANCI (RPT, MPT)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:FRANCI
Last Name:ASTOR
Suffix:
Gender:F
Credentials:RPT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 144036
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-4036
Mailing Address - Country:US
Mailing Address - Phone:787-224-4185
Mailing Address - Fax:787-898-2187
Practice Address - Street 1:CARR 2 KM 62.8
Practice Address - Street 2:SECTOR CANDELARIA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0000
Practice Address - Country:US
Practice Address - Phone:787-420-7621
Practice Address - Fax:787-881-5572
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6120246OtherHUMANA
PR584814941OtherFIRST PLUS
PR890933OtherMEDICARE Y MUCHO MAS
PR584814941OtherMCS CLASSIC CARE
PR57140OtherSSS SELECTO / OPTIMO
PR51126OtherPREFERRED MEDICARE CHOICE
PR584814941OtherFIRST PLUS