Registration to the Provider Web Portal

Section 1: User Identification Information
Section 2: Account Owner Information (Account owner has ability to create, and responsibility to maintain, additional group practice users)
Section 3: Type of Access (Check all that apply)
Section 4: For Security Officer to complete (The name and address of your Primary Controlling Authority (PCA) or Security Officer - the individual who can legally bind your organization who has the legal authority to sign for group)
Terms & Conditions:

In no event will Therapy Network of Puerto Rico, its suppliers or other third parties mentioned at this site be liable for any damages whatsoever arising out of the use, inability to use, or the results of use in this site, or any websites linked to this site.