| Aquaneuro Therapy Services, Inc. | |
|
134 Calle Moradilla San Juan PR 00926-5123 | |
| (787) 789-3481 | |
| Not Available |
| Full Name | Aquaneuro Therapy Services, Inc. |
|---|---|
| Speciality | Physical Therapy Assistant |
| Location | 134 Calle Moradilla, San Juan, Puerto Rico |
| Authorized Official Name and Position | Rosayma Deliris Lopez Ramirez (PRESIDENT) |
| Authorized Official Contact | 7879291594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquaneuro Therapy Services, Inc. Po Box 33092 San Juan PR 00933-3092 Ph: (787) 789-3481 | Aquaneuro Therapy Services, Inc. 134 Calle Moradilla San Juan PR 00926-5123 Ph: (787) 789-3481 |
| NPI Number | 1083011563 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083011563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3252 (Puerto Rico) | Secondary |
| 225200000X | Physical Therapy Assistant | 1242 (Puerto Rico) | Primary |
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