Healthcare Provider Details
I. General information
NPI: 1881783025
Provider Name (Legal Business Name): XCEL REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
AVE FONT MARTELO #117
HUMACAO PR
00791
US
IV. Provider business mailing address
PO BOX 9095
HUMACAO PR
00792-9095
US
V. Phone/Fax
- Phone: 787-850-7393
- Fax: 787-852-1613
- Phone: 787-850-7393
- Fax: 787-852-1613
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | 14560 |
| License Number State | PR |
VIII. Authorized Official
Name: DR.
FRANCISCO
ROMERO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-850-7393