Centro de Terapia Fisica Y Atletica Nueva Vida PSC
Organization Active NPI Physical Therapist · Hatillo, PR
NPI 1194048967 · NPPES record last updated May 15, 2015
Key facts
- NPI
- 1194048967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CENTRO DE TERAPIA FISICA Y ATLETICA NUEVA VIDA PSC
- Practice address
- 462 Atlantic View Buildin Suite 2
Carretera 2 KM 83.5 Marginal Carrizales
Hatillo, PR 00659-0000 - Phone
- (787) 544-6888
- Fax
- (787) 544-6888
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Ivelisse Millet Santiago, MSPT
- Title
- Owner
- Phone
- (787) 544-6888
Practitioners 1
-
Ivelisse Millet Santiago, MSPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101004001217 | PR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7517159932 |
Receives reassigned benefits from 1 practitioner Practice locations: Arecibo, PR; Hatillo, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
462 Atlantic View Buildin Suite 2
Carretera 2 KM 83.5 Marginal Carrizales
Hatillo, PR 00659-0000
Mailing address
PO Box 141024
Arecibo, PR 00614-1024
Phone (787) 544-6888
Other providers in Hatillo, PR
- Ashley Marie Castro Ramos
- Aristides Castro
- CDT Dr. Ferdinando Maldonado
- Centro de Terapia Fisica de Lares, Inc.
- Centro de Terapia Fisica Renacer, CSP
- Centro de Tratamiento Integral Multidisciplinario Inc.
- Centro Maxilofacial del Norte CSP
- Centro Pediatrico de Hatillo CSP
- Centro Psicologico Ekilibrio CSP
- Centro Radiologico CDT Dr Ferdinando Maldonado
All providers in Hatillo, PR · Physical Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.