Provider Demographics
NPI:1922713957
Name:TERAPIA FISICA LA MONSERRATE
Entity Type:Organization
Organization Name:TERAPIA FISICA LA MONSERRATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILKINS
Authorized Official - Middle Name:
Authorized Official - Last Name:FELICIANO ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-873-5999
Mailing Address - Street 1:PO BOX 1381
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-1381
Mailing Address - Country:US
Mailing Address - Phone:787-873-5999
Mailing Address - Fax:787-873-6001
Practice Address - Street 1:100 AVE 5 DE DICIEMBRE
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1961
Practice Address - Country:US
Practice Address - Phone:787-873-5999
Practice Address - Fax:787-873-6000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty