Provider Demographics
NPI:1760134753
Name:VELVET PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:VELVET PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:CRUZ RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-849-2179
Mailing Address - Street 1:PO BOX 3743
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3743
Mailing Address - Country:US
Mailing Address - Phone:787-849-4450
Mailing Address - Fax:
Practice Address - Street 1:349 AVE HOSTOS STE 102
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1511
Practice Address - Country:US
Practice Address - Phone:787-849-4450
Practice Address - Fax:787-849-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy