| Organization Name: | YADIRA GUADALUPE AMADOR |
| NPI Number: | 1174641005 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YADIRA GUADALUPE (FISIOTERAPISTA) |
| Mailing Address: | Street # 2 Km.94.5 Bo. Yeguada Camuy |
| State: | PR US |
| Postal Code: | 00627 |
| Phone Number: | 7878204776 |
| Fax Number: | 7878204776 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |