# CREDIMED, LLC

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

## Provider details

- **NPI number:** 1417533621
- **Authorized official:** DR. FAUSTO BORIA MD (PRESIDENTE)
- **Authorized official phone:** (787) 379-2199

## Contact information

- **Practice address:** \#10 SEC HERETER BO. RINCON, CARR 189 KM 3.3, GURABO, PR 00778-3493
- **Practice address phone:** (787) 746-3035
- **Practice address fax:** (787) 286-5974
- **Mailing address:** PO BOX 249, CAGUAS, PR 00726-0249

## Taxonomy

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

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 04/13/2021