# GRUPO FISIATRICO DE BAYAMON PTR

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

## Provider details

- **NPI number:** 1114932944
- **Authorized official:** DR. WILLIAM F MICHEO M.D. (CO-OWNWER)
- **Authorized official phone:** (787) 740-2270

## Contact information

- **Practice address:** 66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO SUITE 301, BAYAMON, PR 00961-7041
- **Practice address phone:** (787) 740-2270
- **Practice address fax:** (787) 785-7277
- **Mailing address:** 66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO SUITE 301, BAYAMON, PR 00961-7041
- **Mailing address phone:** (787) 740-2270
- **Mailing address fax:** (787) 785-7277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/17/2024