Provider Demographics
NPI:1235242785
Name:CARIBBEAN REHABILITATION MEDICINE ASSOCIATES, INC
Entity Type:Organization
Organization Name:CARIBBEAN REHABILITATION MEDICINE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-715-3757
Mailing Address - Street 1:PO BOX 307679
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-7679
Mailing Address - Country:US
Mailing Address - Phone:340-715-3757
Mailing Address - Fax:340-715-3761
Practice Address - Street 1:3004 CONTANT
Practice Address - Street 2:SUITE 14
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-715-3757
Practice Address - Fax:340-715-3761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI8-4676Medicare ID - Type Unspecified