MEDICARE: SOCIEDAD DE EDUCACION Y REHABILITACION SER DE PUERTO RICO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2080P0216X	Pediatric Rheumatology Physician
2	103T00000X	Psychologist
3	103TC0700X	Clinical Psychologist
4	103TC2200X	Clinical Child & Adolescent Psychologist
5	104100000X	Social Worker
6	207XP3100X	Pediatric Orthopaedic Surgery Physician
7	235Z00000X	Speech-Language Pathologist
8	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
9	261QP2000X	Physical Therapy Clinic/Center
10	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician
11	225X00000X	Occupational Therapist
12	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1356388532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCIEDAD DE EDUCACION Y REHABILITACION SER DE PUERTO RICO INC

Provider Business Mailing Address
First Line	:	PO BOX 364189
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00936-4189
Country	:	US
Telephone Number	:	787-767-6710
Fax Number	:	787-758-0950

Provider Business Practice Location Address
First Line	:	500 CALLE BAEZ
Second Line	:	URB. PEREZ MORIS
City	:	SAN JUAN
State	:	PR
Zip	:	00917-5020
Country	:	US
Telephone Number	:	787-767-6710
Fax Number	:	787-758-0950

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MS. NILDA ROSA MORALES
Credential	:
Telephone Number	:	787-767-6710

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	03/11/2024

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