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General NPI Number Information
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NPI Number | 1649499294
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Entity Type | Organization
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Legal Business Name | CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | CARIMED PLAZA B1 CALLE SANTA CRUZ STE. 406
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City | BAYAMON
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State | PR
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Zip | 00961-6933
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Country | US
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Telephone | 787-740-2270
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Fax | 787-785-7277
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Provider Business Mailing Address
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Address Line | CARIMED PLAZA B1 CALLE SANTA CRUZ STE. 406
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City | BAYAMON
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State | PR
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Zip | 00961-6933
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Country | US
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Telephone | 787-779-6896
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Fax | 787-785-7277
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Authorized Official
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Title or Position | GEN PTR
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Name | DR. JOSE E ARIAS BENABE
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Credential | M.D.
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Telephone | 787-779-6896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) 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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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