Provider Demographics
NPI:1114343555
Name:CARIBBEAN MUSCULOSKELETAL AND REHAB LLC
Entity Type:Organization
Organization Name:CARIBBEAN MUSCULOSKELETAL AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMOGH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-951-2258
Mailing Address - Street 1:PO BOX 2621
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2621
Mailing Address - Country:US
Mailing Address - Phone:787-951-2258
Mailing Address - Fax:
Practice Address - Street 1:STREET #2, KM 142.2
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-951-2258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR180982081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty