Provider Demographics
NPI:1730396094
Name:FISIOTERAPIA DEL NORTE, PSC
Entity type:Organization
Organization Name:FISIOTERAPIA DEL NORTE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-399-0587
Mailing Address - Street 1:35 CALLE JUAN C BORBON STE 67-385
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5374
Mailing Address - Country:US
Mailing Address - Phone:787-399-0587
Mailing Address - Fax:787-998-8564
Practice Address - Street 1:350 CARR 2
Practice Address - Street 2:BARRIO ESPINOSA
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-6075
Practice Address - Country:US
Practice Address - Phone:787-883-1885
Practice Address - Fax:787-915-7865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13090261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy