Provider Demographics
NPI:1205281904
Name:RRSM PSC
Entity type:Organization
Organization Name:RRSM PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIEFKOHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-439-5326
Mailing Address - Street 1:PO BOX 12213
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914-0213
Mailing Address - Country:US
Mailing Address - Phone:787-439-5326
Mailing Address - Fax:787-854-1452
Practice Address - Street 1:1451 AVE ASHFORD
Practice Address - Street 2:CLINICAS PM&R
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1511
Practice Address - Country:US
Practice Address - Phone:787-439-5326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-30
Last Update Date:2016-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty