# JRA ALTERNATIVE REHAB PSC

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

## Provider details

- **NPI number:** 1295046027
- **Authorized official:** DR. JOSE ANGEL RODRIGUEZ ARCHILLA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 208-2366

## Contact information

- **Practice address:** 126 AVE DE DIEGO, SEIN MEDICAL PLAZA, SUITE 202, SAN JUAN, PR 00921-3036
- **Practice address phone:** (787) 208-2366
- **Mailing address:** SENDEROS EN MONTEHIEDRA, CALLE MALAQUITA, \#31, SAN JUAN, PR 00926
- **Mailing address phone:** (787) 208-2366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 16252 | PR | Yes |

## Other

- **Enumeration date:** 06/26/2010
- **Last updated:** 02/20/2013