Provider Demographics
NPI:1780842187
Name:CLINICA DE FISITERAPIA Y REHABILITACION LOGANY
Entity Type:Organization
Organization Name:CLINICA DE FISITERAPIA Y REHABILITACION LOGANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTEMIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-837-1767
Mailing Address - Street 1:PO BOX 79
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0079
Mailing Address - Country:US
Mailing Address - Phone:787-837-1767
Mailing Address - Fax:787-837-1767
Practice Address - Street 1:7 CALLE LA CRUZ
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2426
Practice Address - Country:US
Practice Address - Phone:787-837-1767
Practice Address - Fax:787-837-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy