Healthcare Provider Details

I. General information

NPI: 1306006382
Provider Name (Legal Business Name): FELIX RIJOS MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD NAVAL HOSPITAL DEPT. OF PHYSICAL THERAPY
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

109 BEE ST RALPH JOHNSON VA MEDICAL CENTER
CHARLESTON SC
29401-5703
US

V. Phone/Fax

Practice location:
  • Phone: 843-789-0444
  • Fax:
Mailing address:
  • Phone: 843-789-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number008381-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: