Healthcare Provider Details

I. General information

NPI: 1699314187
Provider Name (Legal Business Name): COMPREHENSIVE THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR # 2 KM 133.5 CENTERPLEX BUILDING SUITE # 201
AGUADA PR
00602
US

IV. Provider business mailing address

PO BOX 367457
SAN JUAN PR
00936-7457
US

V. Phone/Fax

Practice location:
  • Phone: 787-594-1882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: DR. JESUS M RAMOS
Title or Position: PRESIDENT
Credential: MD
Phone: 787-421-8063