Provider Demographics
NPI:1225394687
Name:MRC PROPERTIES CORP
Entity Type:Organization
Organization Name:MRC PROPERTIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:787-638-8295
Mailing Address - Street 1:PO BOX 800964
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0964
Mailing Address - Country:US
Mailing Address - Phone:787-638-8295
Mailing Address - Fax:787-764-5962
Practice Address - Street 1:879 AVE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2107
Practice Address - Country:US
Practice Address - Phone:787-638-8295
Practice Address - Fax:787-764-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty