# MEDICOLEGAL PHYSIATRIST SERVICES PSC

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

## Provider details

- **NPI number:** 1568140911
- **Authorized official:** HECTOR MANUEL CORTES SANTOS MD (OWN)
- **Authorized official phone:** (787) 672-2264

## Contact information

- **Practice address:** SUITE E, CENTRO COMERCIAL LOS PRADOS, CAGUAS, PR 00727
- **Practice address phone:** (787) 961-0091
- **Practice address fax:** (787) 961-0045
- **Mailing address:** HACIENDA SAN JOSE, 1450 PUERTA DEL PARQUE, CAGUAS, PR 00727-1383
- **Mailing address phone:** (787) 672-2264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 11/24/2023