# PR PHYSICAL MEDICINE & REHAB, LLC

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

## Provider details

- **NPI number:** 1396657748
- **Authorized official:** MARIELLA HILLEBRAND MD (OWNER)
- **Authorized official phone:** (832) 457-4312

## Contact information

- **Practice address:** W11 CALLE LEALTAD, LOCAL \#2, TOA BAJA, PR 00949-4613
- **Practice address phone:** (832) 457-4312
- **Mailing address:** PO BOX 262, BAYAMON, PR 00960-0262
- **Mailing address phone:** (832) 457-4312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2026
- **Last updated:** 09/23/2026