Provider Demographics
NPI:1255133641
Name:BRULL RIOS, INES M (DTP)
Entity type:Individual
Prefix:
First Name:INES
Middle Name:M
Last Name:BRULL RIOS
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Gender:
Credentials:DTP
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Other - Last Name:
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Mailing Address - Street 1:1687 CALLE PORTUGUES
Mailing Address - Street 2:URB RIO PIEDRAS HEIGHTS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-602-4660
Mailing Address - Fax:
Practice Address - Street 1:15 AVE MUNOZ RIVERA PASEO CARIBE BUILDING
Practice Address - Street 2:STE 104
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-2480
Practice Address - Country:US
Practice Address - Phone:787-330-2100
Practice Address - Fax:787-289-8715
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR4650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist