Basic Information
| Provider Information | |||||||||
| NPI: | 1346223062 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | T.F.C.-TERAPIA FISICA CON CALIDAD, C.S.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6334 | ||||||||
| Address2: | |||||||||
| City: | MAYAGUEZ | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006816334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878343536 | ||||||||
| FaxNumber: | 7878343536 | ||||||||
| Practice Location | |||||||||
| Address1: | TERAPIA FISICA CON CALIDAD | ||||||||
| Address2: | CALLE PERAL 29 NORTE | ||||||||
| City: | MAYAGUEZ | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878343536 | ||||||||
| FaxNumber: | 7878343536 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2005 | ||||||||
| LastUpdateDate: | 04/20/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | QUINONES | ||||||||
| AuthorizedOfficialFirstName: | ZENAIDA | ||||||||
| AuthorizedOfficialMiddleName: | IVETTE | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7878343536 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MPT | ||||||||
| NPICertificationDate: | 04/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | 732 | PR | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
ID Information
| ID | Type | State | Issuer | Description | 9266 | 01 | PR | INTERNATIONALMEDICAL CARD | OTHER | 223072 | 01 | PR | PREFERRED HEALTH | OTHER | 9001839 | 01 | PR | LA CRUZ AZUL DE PR | OTHER | 57761 | 01 | PR | TRIPLE S | OTHER | 57761QU | 01 | PR | TRIPLE S MEDICARE OPTIMO | OTHER | 6800096 | 01 | PR | HUMANA HEALTH CARE | OTHER |