# PHYSICAL & SPORTS REHABILITATION CLINIC

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

## Provider details

- **NPI number:** 1558818336
- **Authorized official:** DR. RUBEN YARED TORRES M.D. (PRESIDENT)
- **Authorized official phone:** (787) 463-3832

## Contact information

- **Practice address:** CARR 111 KM 8.0, MOCA, PR 00676-9998
- **Practice address phone:** (787) 877-5694
- **Practice address fax:** (787) 877-5694
- **Mailing address:** PO BOX 2382, ANASCO, PR 00610-2382
- **Mailing address phone:** (787) 877-5694
- **Mailing address fax:** (787) 877-5694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 18872 | PR | Yes |

## Other

- **Enumeration date:** 09/08/2016
- **Last updated:** 09/08/2016