Provider Demographics
NPI:1548875180
Name:CENTRO DE TERAPIA FISICA CAMPO RICO INC
Entity type:Organization
Organization Name:CENTRO DE TERAPIA FISICA CAMPO RICO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MISS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CASTRO CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-876-3967
Mailing Address - Street 1:PO BOX 1916
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1916
Mailing Address - Country:US
Mailing Address - Phone:787-876-3967
Mailing Address - Fax:
Practice Address - Street 1:CARR 185 KM 5.5 BO. CAMPO RICO
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-876-3967
Practice Address - Fax:787-876-3967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy