Provider Demographics
NPI:1740322676
Name:SALUD A TU ALCANCE, INC.
Entity type:Organization
Organization Name:SALUD A TU ALCANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPERENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-826-4444
Mailing Address - Street 1:PO BOX 2093
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-3001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BO. QUEBRADA LARGA
Practice Address - Street 2:CARR 2 KM 141 HM 9
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1002261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0057502Medicare ID - Type UnspecifiedPHYSICAL THERAPIST