Organization
PHYSICS REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR GOMEZ MEDINA MD (PRESIDENTE)
(787) 288-0808
Entity
Organization
Contact information
Practice address
ID14 CALLE ALMACIGO, BAYAMON, PR 00956-3104
(787) 288-0808
(787) 288-0888
Mailing address
B38 CALLE NORTH VIEW COURT, URB BALDWIN PARK, GUAYNABO, PR 00969
(787) 288-0808
(787) 288-0888
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190013-0010
—
PR
Enumeration date
07/16/2019
Last updated
06/29/2020
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