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Organization
REHABILITACION DORADA, INC
Active
Organization
REHABILITACION DORADA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. XANDRA N ZAYAS-CRESPO RPT (RPT- PRESIDENT)
(939) 630-2569
Entity
Organization
Contact information
Practice address
URB GRAN VISTA 1 CAMINO DEL PLATA, TOA ALTA, PR 00953
(939) 630-2569
(787) 870-6706
Mailing address
URB GRAN VISTA 1 CAMINO DEL PLATA, TOA ALTA, PR 00953
(939) 630-2569
(787) 870-6706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1375
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038231100
—
PR
01
—
1375
STATE LICENCE
PR
01
—
1508061037
INDIVIDUAL NPI
PR
Enumeration date
04/25/2012
Last updated
04/27/2022
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