Healthcare Provider Details

I. General information

NPI: 1871701375
Provider Name (Legal Business Name): SERVICIOS REMEDIALES INTENSIVOS DE REHABILITACION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CALLE OCEAN DR BAY VIEW
CATANO PR
00962-4236
US

IV. Provider business mailing address

EAST OCEAN DR NUMBER 20 BAY VIEW
CATANO PR
00962-4236
US

V. Phone/Fax

Practice location:
  • Phone: 787-788-5759
  • Fax: 787-788-5759
Mailing address:
  • Phone: 787-788-5759
  • Fax: 787-788-5759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number592
License Number StatePR

VIII. Authorized Official

Name: MR. FRANCISCO HERRERO GARCIA
Title or Position: DIRECTOR
Credential: P. T.
Phone: 787-788-5759