Organization
CENTRO DE MEDICINA FISICA Y REHABILITACION RIO GRANDE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAMARIS ORTIZ FUENTES (PRESIDENT)
(787) 887-2555
Entity
Organization
Contact information
Practice address
B18 CALLE GARCIA DE LA NOCEDA, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745-0000
(787) 887-2555
(787) 657-5600
Mailing address
PO BOX 2884, RIO GRANDE, PR 00745-2884
(787) 887-2555
(787) 657-5600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85426
MEDICARE ID
PR
Enumeration date
02/23/2006
Last updated
12/17/2014
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