Provider Demographics
NPI:1346245032
Name:BUTLER MOYA, LUZ C (DRA TERAPIA FISICA)
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:C
Last Name:BUTLER MOYA
Suffix:
Gender:F
Credentials:DRA TERAPIA FISICA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-0430
Mailing Address - Country:US
Mailing Address - Phone:787-846-4121
Mailing Address - Fax:787-846-5661
Practice Address - Street 1:CARR #2 KM 55 2
Practice Address - Street 2:BO PALENQUE
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-0430
Practice Address - Country:US
Practice Address - Phone:787-846-4121
Practice Address - Fax:787-846-4121
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR909225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR50015AOtherPREFERRED MEDICARE CHOICE
PR870027OtherMMM
PR9002161OtherCRUZ AZUL
PR29795OtherAMPR
PR223165OtherPREFERRED HEALTH PLAN
PR6400178OtherHUMANA
PR2182OtherINTERNATIONAL MEDICAL CA
PR73422OtherICMS
PR223165OtherPREFERRED HEALTH CARE
PR89230OtherTRIPLE C REFORMA
PRS64473Medicare UPIN
PR9002161OtherCRUZ AZUL
PR223165OtherPREFERRED HEALTH PLAN