Provider Demographics
NPI:1720198260
Name:MC THERAPY GROUP PSC
Entity Type:Organization
Organization Name:MC THERAPY GROUP PSC
Other - Org Name:PROFFESIONAL SERVICE CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLONDRES
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:787-647-6148
Mailing Address - Street 1:CALLE OVIEDO # 99
Mailing Address - Street 2:CIUDAD JARDIN
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1342
Mailing Address - Country:US
Mailing Address - Phone:787-647-6148
Mailing Address - Fax:787-703-6274
Practice Address - Street 1:CALLE JOSE VILLAIES C5
Practice Address - Street 2:APT 1B URB PARADISE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-647-6148
Practice Address - Fax:787-703-6274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1113261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy