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General NPI Number Information
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NPI Number | 1447226238
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Entity Type | Organization
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Legal Business Name | CENTRO DE MEDICINA FISICA Y REHABILITACION RIO GRANDE,INC
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | B18 CALLE GARCIA DE LA NOCEDA VILLAS DE RIO GRANDE
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City | RIO GRANDE
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State | PR
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Zip | 00745-0000
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Country | US
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Telephone | 787-887-2555
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Fax | 787-657-5600
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Provider Business Mailing Address
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Address Line | PO BOX 2884
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City | RIO GRANDE
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State | PR
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Zip | 00745-2884
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Country | US
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Telephone | 787-887-2555
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Fax | 787-657-5600
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISAMARIS ORTIZ FUENTES
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Credential |
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Telephone | 787-887-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | PR
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