# PUERTO RICO HAND AND SPORTS REHABILITATION LLC

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

## Provider details

- **NPI number:** 1619541604
- **Authorized official:** DR. CRISTIAN PRADO-CAPETILLO MD (OWNER)
- **Authorized official phone:** (904) 315-0394

## Contact information

- **Practice address:** 400 AVE MANUEL DOMENECH STE 402, SAN JUAN, PR 00918-3754
- **Practice address phone:** (787) 689-7803
- **Practice address fax:** (844) 865-3827
- **Mailing address:** 400 AVE MANUEL DOMENECH STE 402, SAN JUAN, PR 00918-3754
- **Mailing address phone:** (787) 689-7803
- **Mailing address fax:** (844) 865-3827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2021
- **Last updated:** 04/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1271344-0011 | CERT REGISTRO DE COMERCIANTE | PR |
| 01 | — | 463736 | CERTIFICADO DE ORGANIZACION | PR |