Healthcare Provider Details
I. General information
NPI: 1366408403
Provider Name (Legal Business Name): CARIBBEAN REHABILITATION SERVICES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2006
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PLAZA SAN FRANCISCO 201 AVE. DE DIEGO, SUITE 154
SAN JUAN PR
00927-5812
US
IV. Provider business mailing address
PO BOX 11746
SAN JUAN PR
00910-2846
US
V. Phone/Fax
- Phone: 787-751-4551
- Fax: 787-751-4582
- Phone: 787-751-4551
- Fax: 787-751-4582
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 5935 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | 5935 |
| License Number State | PR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | 5935 |
| License Number State | PR |
VIII. Authorized Official
Name: DR.
RAFAEL
E
SEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-751-4551