# REHABILITACION Y MEDICINA DEPORTIVA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael Hernandez MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225196496
- **Authorized official:** MR. MICHAEL HERNANDEZ MD (MD PARTNER VICE PRESIDENT)
- **Authorized official phone:** (787) 276-7006

## Contact information

- **Practice address:** AVE FRAGOJO \#4ES12, VILLA FONTANA, CAROLINA, PR 00983
- **Practice address phone:** (787) 276-7006
- **Practice address fax:** (787) 276-7030
- **Mailing address:** PO BOX 2500, PMB 122, TRUJILLO ALTO, PR 00977-2500
- **Mailing address phone:** (787) 276-7006
- **Mailing address fax:** (787) 276-7030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 14361 | PR | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A 391 | INTERNATIONAL MEDICAL CO | — |