# NEUROREHAB INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063112670
- **Authorized official:** JAVIER I GONZALEZ BUONOMO MD (SOLE OWNER)
- **Authorized official phone:** (787) 672-4442

## Contact information

- **Practice address:** TORRE SAN VICENTE DE PAUL SUITE 503, CARR 2 KM 173.4 CAIN ALTO, SAN GERMAN, PR 00683
- **Practice address phone:** (787) 672-4442
- **Mailing address:** PO BOX 8938, CAGUAS, PR 00726-8938
- **Mailing address phone:** (787) 672-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2023
- **Last updated:** 03/03/2023