# FUNCTIONAL RESTORATION PSC

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

## Provider details

- **NPI number:** 1902168420
- **Authorized official:** DR. PEREZ ALEJANDRO M.D.,M.P.H.,DABPMR (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 782-2436

## Contact information

- **Practice address:** E22 CALLE SANTA CRUZ, BAYAMON, PR 00961-6905
- **Practice address phone:** (787) 782-2436
- **Practice address fax:** (787) 782-2430
- **Mailing address:** 50 CALLE BRAZIL STE 3, GARDENVILLE, GUAYNABO, PR 00966-2037
- **Mailing address phone:** (787) 782-2436
- **Mailing address fax:** (787) 782-2430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | PR | Yes |

## Other

- **Enumeration date:** 06/11/2012
- **Last updated:** 06/14/2012