| Doctor Name: | DR. TOMAS U POVENTUD |
| NPI Number: | 1154357432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 6512 |
| Business Practice Address: | 368 Calle De Diego Suite 2c, Cond. Crystal House San Juan, PR - 009232916 |
| Business Phone Number: | 7877511813 |
| Business Fax Number: | 7872500156 |
| Mailing Address: | 138 Ave Winston Churchill, Pmb 632 SAN JUAN |
| State: | PR |
| Postal Code: | 009266013 |
| Phone Number: | 7877511813 |
| Fax Number: | 7872500156 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 01/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |