Provider Demographics
NPI:1760674840
Name:MONROIG, KYRA ARIANNE (PT)
Entity Type:Individual
Prefix:
First Name:KYRA
Middle Name:ARIANNE
Last Name:MONROIG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CALLE 1
Mailing Address - Street 2:CONDOMINIO VISTAS DEL RIO, APTO. 3-C
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8841
Mailing Address - Country:US
Mailing Address - Phone:787-379-9885
Mailing Address - Fax:
Practice Address - Street 1:8 CALLE 1
Practice Address - Street 2:CONDOMINIO VISTAS DEL RIO, APTO. 3-C
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-8841
Practice Address - Country:US
Practice Address - Phone:787-379-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1198225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist