# BRS PHYSIATRY & SPORTS MEDICINE PSC

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

## Provider details

- **NPI number:** 1275186017
- **Authorized official:** DR. BELMARIE RODRIGUEZ SANTIAGO MD (PRESIDENT)
- **Authorized official phone:** (787) 957-5553

## Contact information

- **Practice address:** 640 AVE ANDALUCIA, INSTITUTO DE MEDICINA DEPORTIVA Y MANEJO DEL DOLOR, SAN JUAN, PR 00920
- **Practice address phone:** (787) 957-5553
- **Mailing address:** PO BOX 353, MANATI, PR 00674-0353
- **Mailing address phone:** (787) 957-5553

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2019
- **Last updated:** 09/16/2019