# DYNAMIC REHAB

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

## Provider details

- **NPI number:** 1710271531
- **Authorized official:** SANDRA SEVILLANO RPT (OWNER)
- **Authorized official phone:** (787) 633-0422

## Contact information

- **Practice address:** AVE MONSERRATE \# AC5, URB VALLE ARRIBA HEIGHTS, CAROLINA, PR 00985-5444
- **Practice address phone:** (787) 768-1460
- **Mailing address:** PO BOX 367266, SAN JUAN, PR 00936-7266
- **Mailing address phone:** (787) 768-1460
- **Mailing address fax:** (787) 757-0150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 933 | PR | Yes |

## Other

- **Enumeration date:** 06/09/2011
- **Last updated:** 06/09/2011