# PROHEALTH THERAPY & SPORTS REHAB, PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1578821542
- **Authorized official:** MRS. JENIFFER MARI VAZQUEZ (PHYSICAL THERAPIST)
- **Authorized official phone:** (787) 313-0829

## Contact information

- **Practice address:** BO GUAYABO CARR 115, KM 20.6, AGUADA, PR 00602-9305
- **Practice address phone:** (787) 313-0829
- **Mailing address:** HC 03 BOX 29780, AGUADA, PR 00602-9305
- **Mailing address phone:** (787) 313-0829
- **Mailing address fax:** (787) 200-8030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 1374 | PR | Yes |

## Other

- **Enumeration date:** 04/27/2012
- **Last updated:** 08/13/2012