1770728990 NPI number — FISIOTERAPIA CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN INC

Table of content: GABRIELA SARAHI GALVEZ RBT (NPI 1063279701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770728990 NPI number — FISIOTERAPIA CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FISIOTERAPIA CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN INC
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:
1770728990
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 51513
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOA BAJA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00950-1513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-795-4810
Provider Business Mailing Address Fax Number:
787-784-0680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HF16 CALLE LIZZIE GRAHAM
Provider Second Line Business Practice Location Address:
LEVITTOWN
Provider Business Practice Location Address City Name:
TOA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00949-3634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-795-2911
Provider Business Practice Location Address Fax Number:
787-784-0680
Provider Enumeration Date:
12/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ROIG
Authorized Official First Name:
RAFAEL
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENTE
Authorized Official Telephone Number:
787-795-4810

Provider Taxonomy Codes

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

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





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