# PREMIUM REHAB CENTER GROUP CORP.

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

## Provider details

- **NPI number:** 1386272037
- **Authorized official:** MR. ARIEL VEGA (PRESIDENT)
- **Authorized official phone:** (787) 203-6689

## Contact information

- **Practice address:** 2826 AVE DOS PALMAS, TOA BAJA, PR 00949-4106
- **Practice address phone:** (787) 261-5093
- **Practice address fax:** (787) 784-9264
- **Mailing address:** 2826 AVE DOS PALMAS, TOA BAJA, PR 00949-4106
- **Mailing address phone:** (787) 261-5093
- **Mailing address fax:** (787) 784-9264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2020
- **Last updated:** 03/30/2020