Provider Demographics
NPI:1154454759
Name:PHYSICAL THERAPY SERVICES INC.
Entity type:Organization
Organization Name:PHYSICAL THERAPY SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BOCOP,C,PED,RPT
Authorized Official - Phone:787-756-6868
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0056
Mailing Address - Country:US
Mailing Address - Phone:787-756-6868
Mailing Address - Fax:787-767-8484
Practice Address - Street 1:965 AVE AMERICO MIRANDA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2801
Practice Address - Country:US
Practice Address - Phone:787-756-6868
Practice Address - Fax:787-767-8484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICAL THERAPY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-13
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment