# ROSAS REHABILITATION PAIN AND SPORT INSTITUTE LLC

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

## Provider details

- **NPI number:** 1689361198
- **Authorized official:** DR. ODRICK ROBERTO ROSAS MD (ATTENDING PHYSICIAN)
- **Authorized official phone:** (787) 870-8403

## Contact information

- **Practice address:** URB SAN FERNANDO A1 CALLE 1, TOA ALTA, PR 00953-0467
- **Practice address phone:** (787) 870-8403
- **Mailing address:** PO BOX 1041, VEGA ALTA, PR 00692-1041
- **Mailing address phone:** (939) 287-7553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2023
- **Last updated:** 04/24/2023