# CEFISAD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Fisioterapia y Salud Deportiva
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679780753
- **Authorized official:** MR. CARLOS JOSE RIVERA RPT (PRESIDENT)
- **Authorized official phone:** (787) 283-1554

## Contact information

- **Practice address:** 100 GRAND BOULEVARD PASEOS, GALERIA PASEOS MALL - SUITE 109, SAN JUAN, PR 00926
- **Practice address phone:** (787) 283-1554
- **Practice address fax:** (787) 283-2776
- **Mailing address:** 100 GRAND BOULEVARD PASEOS, SUITE 112-248, SAN JUAN, PR 00926
- **Mailing address phone:** (787) 283-1554
- **Mailing address fax:** (787) 283-2776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 929 | PR | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020