Healthcare Provider Details

I. General information

NPI: 1447283353
Provider Name (Legal Business Name): PAIN REHABILITATION MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CALLE SATURNINO RODRIGUEZ
YABUCOA PR
00767-3532
US

IV. Provider business mailing address

104 FAIRWAY DR PALMAS DEL MAR
HUMACAO PR
00791-6021
US

V. Phone/Fax

Practice location:
  • Phone: 787-893-4200
  • Fax: 787-893-3272
Mailing address:
  • Phone: 787-502-1111
  • Fax: 787-893-3272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS ROSA J MARTINEZ GARCIA
Title or Position: DIRECTORA DE FISIOTERAPIA
Credential: ANCILLIAR
Phone: 787-893-4200