1346223062 NPI number — T.F.C.-TERAPIA FISICA CON CALIDAD, C.S.P.

Table of content: (NPI 1346223062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346223062 NPI number — T.F.C.-TERAPIA FISICA CON CALIDAD, C.S.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
T.F.C.-TERAPIA FISICA CON CALIDAD, C.S.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346223062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6334
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-6334
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-834-3536
Provider Business Mailing Address Fax Number:
787-834-3536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TERAPIA FISICA CON CALIDAD
Provider Second Line Business Practice Location Address:
CALLE PERAL 29 NORTE
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-3536
Provider Business Practice Location Address Fax Number:
787-834-3536
Provider Enumeration Date:
11/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
QUINONES
Authorized Official First Name:
ZENAIDA
Authorized Official Middle Name:
IVETTE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
787-834-3536

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  732 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9266 . This is a "INTERNATIONALMEDICAL CARD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 223072 . This is a "PREFERRED HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9001839 . This is a "LA CRUZ AZUL DE PR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 57761 . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 57761QU . This is a "TRIPLE S MEDICARE OPTIMO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6800096 . This is a "HUMANA HEALTH CARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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