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General NPI Number Information
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NPI Number | 1962051094
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Entity Type | Organization
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Legal Business Name | M&R PHYSICAL THERAPY L.L.C.
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 1395 CALLE SAN RAFAEL
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City | SAN JUAN
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State | PR
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Zip | 00909-2518
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Country | US
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Telephone | 787-505-9055
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Fax | 787-998-9191
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Provider Business Mailing Address
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Address Line | URB BELLA VISTA CALLE 8 J29
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-998-9091
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Fax | 787-998-9191
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Authorized Official
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Title or Position | OWNER
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Name | MARILIAN T RIVERA
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Credential | MSPT
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Telephone | 787-944-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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