Magaly Amado

Individual provider Active NPI Physical Therapy Assistant · San Lorenzo, PR

NPI 1053522011 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1053522011
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
758 (PR)
Practice address
Calle 8 Fi-60
Urb. Ciudad Masso
San Lorenzo, PR 00754
Phone
(787) 777-3535
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
758PRMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 758 PR Yes

Addresses

Primary practice location

Calle 8 Fi-60
Urb. Ciudad Masso
San Lorenzo, PR 00754

Mailing address

Calle 8 Fi-60
Urb. Ciudad Masso
San Lorenzo, PR 00754
Phone (787) 736-2353

Other providers in San Lorenzo, PR

All providers in San Lorenzo, PR · Physical Therapy Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.