Healthcare Provider Details

I. General information

NPI: 1497000160
Provider Name (Legal Business Name): CONTINUUM HEALTH REHAB GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 PONCE BY PASS EDIF. PARRA SUITE 301
PONCE PR
00717-1321
US

IV. Provider business mailing address

EDIF. PARRA SUITE 301 2225 PONCE BY PASS
PONCE PR
00717-1320
US

V. Phone/Fax

Practice location:
  • Phone: 787-848-4937
  • Fax: 787-848-9289
Mailing address:
  • Phone: 787-848-4937
  • Fax: 787-848-9289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number8306
License Number StatePR

VIII. Authorized Official

Name: DR. RAFAEL L OMS
Title or Position: PRESIDENT
Credential: M.D.,FAAPMR
Phone: 787-848-6910