Provider Demographics
NPI:1649499294
Name:CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE
Entity type:Organization
Organization Name:CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GEN PTR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARIAS BENABE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-779-6896
Mailing Address - Street 1:CARIMED PLAZA
Mailing Address - Street 2:B1 CALLE SANTA CRUZ STE. 406
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6933
Mailing Address - Country:US
Mailing Address - Phone:787-779-6896
Mailing Address - Fax:787-785-7277
Practice Address - Street 1:CARIMED PLAZA
Practice Address - Street 2:B1 CALLE SANTA CRUZ STE. 406
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6933
Practice Address - Country:US
Practice Address - Phone:787-740-2270
Practice Address - Fax:787-785-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty