Organization
SPORTS AND PAIN INTERVENTIONS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL J ACEVEDO (PRESIDENT)
(787) 673-3299
Entity
Organization
Contact information
Practice address
C55 CALLE 4, URB. MONTE BELLO, HORMIGUEROS, PR 00660
(787) 673-3299
Mailing address
PO BOX 6216, MAYAGUEZ, PR 00681-6216
(787) 673-3299
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
18031
PR
261QP2000X
Physical Therapy Clinic/Center
18031
PR
261QP3300X
Pain Clinic/Center
Primary
18031
PR
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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