# RFN-IPSRM LLC

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

## Provider details

- **NPI number:** 1982472700
- **Authorized official:** RICHARD ALEXANDER FONTANEZ NIEVES MD (PRESIDENT)
- **Authorized official phone:** (787) 408-6239

## Contact information

- **Practice address:** 640 AVE ANDALUCIA, SAN JUAN, PR 00920-5311
- **Practice address phone:** (787) 408-6239
- **Mailing address:** PO BOX 1603, DORADO, PR 00646-1603
- **Mailing address phone:** (787) 408-6239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 08/05/2024