# LS PHYSIATRY AND SPORTS MEDICINE SERVICES

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

## Provider details

- **NPI number:** 1548781388
- **Authorized official:** LUIS ALBERTO SANCHEZ COLON MD (PRESIDENT)
- **Authorized official phone:** (787) 501-3399

## Contact information

- **Practice address:** 640 AVE ANDALUCIA, SAN JUAN, PR 00920-5311
- **Practice address phone:** (787) 957-5553
- **Mailing address:** 400 GRAND BLVD LOS PRADOS APT 30103, CAGUAS, PR 00727-3383
- **Mailing address phone:** (787) 501-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 19393 | PR | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 19393 | PR | — |

## Other

- **Enumeration date:** 07/02/2017
- **Last updated:** 07/03/2017