Provider Demographics
NPI:1730349275
Name:NALIX GARCIA CATALAN-FISIATRIA PSC
Entity type:Organization
Organization Name:NALIX GARCIA CATALAN-FISIATRIA PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-768-9400
Mailing Address - Street 1:PASEO BLVD
Mailing Address - Street 2:PMB 151 100 GRAND BLVD SUITE 112
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5902
Mailing Address - Country:US
Mailing Address - Phone:787-768-9400
Mailing Address - Fax:787-768-9440
Practice Address - Street 1:AVE ROBERTO CLEMENTE NUM 51
Practice Address - Street 2:NUM 51
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-768-9400
Practice Address - Fax:787-768-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13915261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0021618Medicare PIN