1740391036 NPI number — CENTRO DE TERAPIA FISICA CAROLINA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740391036 NPI number — CENTRO DE TERAPIA FISICA CAROLINA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO DE TERAPIA FISICA CAROLINA
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:
6
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:
1740391036
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00986-0150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-768-0966
Provider Business Mailing Address Fax Number:
787-768-0966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
56 CALLE AGUSTIN CABRERA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985-6035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-768-0966
Provider Business Practice Location Address Fax Number:
787-768-0966
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERA CORREA
Authorized Official First Name:
SAMALEK
Authorized Official Middle Name:
J
Authorized Official Title or Position:
ADMINISTRADOR
Authorized Official Telephone Number:
787-768-0966

Provider Taxonomy Codes

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

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





Copyright © 2007-2026 www.npivalidator.com