Organization
CENTRO FISIATRICO Y MEDICINA DEPORTIVA ERJ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ROBERTO JAVIER M.D. (OWNER)
(787) 258-3275
Entity
Organization
Contact information
Practice address
201 AVE. GAUTIER BENITEZ, SUITE 308, CAGUAS, PR 00725
(787) 258-3275
(787) 258-3212
Mailing address
201 AVE GAUTIER BENITEZ, SUITE 031, CAGUAS, PR 00725
(787) 258-3275
(787) 258-3212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11945
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03559
AMERICAN HEALTH
PR
01
—
061142
CRUZ AZUL
PR
01
—
1678A
PREFFERED MEDICAL CHOICE
PR
01
—
223220
PREFERRED HEALTH
PR
01
—
7310346
HUMANA HEALTH
PR
01
—
7716
AMERICAN HEALTH MEDICARE
PR
01
—
84873
SSS
PR
01
—
P521
INTERNATIONAL MEDICAL CAR
PR
01
—
PE 4628
PAN AMERICAN LIFE INSURAN
PR
Enumeration date
02/24/2006
Last updated
04/25/2008
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