Provider Demographics
NPI:1619039500
Name:TORT THERAPEUTIC ELEMENTS, LLC.
Entity Type:Organization
Organization Name:TORT THERAPEUTIC ELEMENTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIXA
Authorized Official - Middle Name:AIMEE
Authorized Official - Last Name:TORT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:787-602-0686
Mailing Address - Street 1:1733 CALLE THEIS
Mailing Address - Street 2:RIO PIEDRAS HEIGHTS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3248
Mailing Address - Country:US
Mailing Address - Phone:787-692-3646
Mailing Address - Fax:787-294-1265
Practice Address - Street 1:1733 CALLE THEIS
Practice Address - Street 2:RIO PIEDRAS HEIGHTS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3248
Practice Address - Country:US
Practice Address - Phone:787-765-7276
Practice Address - Fax:787-282-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1317261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy