# JUVENTUD REHAB CSP.

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

## Provider details

- **NPI number:** 1790077444
- **Authorized official:** MISS BRENDA L. DE JESUS P.T. (PRESIDENTE)
- **Authorized official phone:** (787) 270-2686

## Contact information

- **Practice address:** CARRETERA 693 KM 14.2, BO. BRENAS, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 270-2686
- **Practice address fax:** (787) 270-5292
- **Mailing address:** PO BOX 468, VEGA BAJA, PR 00694-0468
- **Mailing address phone:** (787) 270-2686
- **Mailing address fax:** (787) 270-5292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 001043 | PR | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011