Provider Demographics
NPI:1689238404
Name:CLINICA TERAPEUTICA MON QUIROMASAJE, PSC
Entity Type:Organization
Organization Name:CLINICA TERAPEUTICA MON QUIROMASAJE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA-OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:787-918-8509
Mailing Address - Street 1:CITY VIEW PLAZA 48 PR 165
Mailing Address - Street 2:TORRE I SUITE P 100
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-918-8509
Mailing Address - Fax:
Practice Address - Street 1:CITY VIEW PLAZA 48 PR 165
Practice Address - Street 2:TORRE I SUITE P 100
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-918-8509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty