Provider Demographics
NPI:1942228986
Name:PHYSIOTHERAPY HEALTH SERVICES
Entity Type:Organization
Organization Name:PHYSIOTHERAPY HEALTH SERVICES
Other - Org Name:JULIA E. GIL AYALA DOING BUSINESS AS PHYSOTHERAPY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GIL AYALA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-787-8669
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0392
Mailing Address - Country:US
Mailing Address - Phone:787-787-8669
Mailing Address - Fax:787-786-7865
Practice Address - Street 1:30 TH STREET UU-43 SANTA JUANITA
Practice Address - Street 2:BAYAMON 00956
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-787-8669
Practice Address - Fax:787-786-7865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR406504Medicare Oscar/Certification