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General NPI Number Information
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NPI Number | 1316850399
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Entity Type | Organization
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Legal Business Name | PR PHYSICAL MEDICINE & REHAB, LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | CALLE MANUEL F. ROSSY ESQ. ISABEL II
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-995-1900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | TOA BAJA
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State | PR
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Zip | 00951-0117
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Country | US
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Telephone | 832-457-4312
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIELLA HILLEBRAND
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Credential | MD
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Telephone | 832-457-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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