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Organization
SAN PABLO PHYSICAL MEDICINE PSC
Active
Organization
SAN PABLO PHYSICAL MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVELISSE GONZALEZ M.D. (PRESIDENT)
(787) 786-2469
Entity
Organization
Contact information
Practice address
TORRE SAN PABLO # 68 SANTA CRUZ ST., SUITE 603, BAYAMON, PR 00961-7035
(787) 786-2469
Mailing address
TORRE SAN PABLO SUITE 603, 68 CALLE SANTA CRUZ, BAYAMON, PR 00961-7034
(787) 402-8195
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
04/03/2025
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