Provider Demographics
NPI:1215257167
Name:CUILAN, MARIE N (PHYSICAL THERAPY)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:N
Last Name:CUILAN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 3 BOX 6689
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9423
Mailing Address - Country:US
Mailing Address - Phone:787-714-1571
Mailing Address - Fax:787-714-1571
Practice Address - Street 1:RR 3 BOX 6689
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-9423
Practice Address - Country:US
Practice Address - Phone:787-714-1571
Practice Address - Fax:787-714-1571
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR236174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR236OtherPHYSICAL THERAPY LICENSE