Provider Demographics
NPI:1740308865
Name:INSTITUTO FISIATRICO DRA. PALOU
Entity type:Organization
Organization Name:INSTITUTO FISIATRICO DRA. PALOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:INES
Authorized Official - Last Name:PALOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-733-1222
Mailing Address - Street 1:#2 MANUEL GARCIA ST.
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-733-1222
Mailing Address - Fax:787-733-1310
Practice Address - Street 1:#2 MANUEL GARCIA ST.
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3063
Practice Address - Country:US
Practice Address - Phone:787-733-1222
Practice Address - Fax:787-733-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11325261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy