Provider Demographics
NPI:1891120648
Name:MULTY MEDICAL FACILITIES CORP
Entity Type:Organization
Organization Name:MULTY MEDICAL FACILITIES CORP
Other - Org Name:MULTY MEDICAL PHYSICAL REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONDE STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-705-8677
Mailing Address - Street 1:402 MUNOZ RIVERA AVE
Mailing Address - Street 2:URB. EL VEDADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3310
Mailing Address - Country:US
Mailing Address - Phone:787-705-8677
Mailing Address - Fax:787-705-8749
Practice Address - Street 1:402 MUNOZ RIVERA AVE
Practice Address - Street 2:URB. EL VEDADO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3310
Practice Address - Country:US
Practice Address - Phone:787-705-8677
Practice Address - Fax:787-705-8749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12-081273Y00000X
283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No273Y00000XHospital UnitsRehabilitation Unit