Provider Demographics
NPI:1932519709
Name:CENTRO DE TERAPIA FISICA LA MONTANA PSC
Entity Type:Organization
Organization Name:CENTRO DE TERAPIA FISICA LA MONTANA PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISIOTERAPISTA
Authorized Official - Prefix:
Authorized Official - First Name:ZAYAS
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:ELOISA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-869-7927
Mailing Address - Street 1:HC 72 BOX 4047
Mailing Address - Street 2:BO CEDRO ARRIBA CARR 152 KM 11.7
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719
Mailing Address - Country:US
Mailing Address - Phone:787-869-7927
Mailing Address - Fax:787-869-5873
Practice Address - Street 1:HC 72 BOX 4047
Practice Address - Street 2:BO CEDRO ARRIBA CARR 152 KM 11.7
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-869-7927
Practice Address - Fax:787-869-5873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health