1649499294 NPI number — CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649499294 NPI number — CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649499294
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CARIMED PLAZA
Provider Second Line Business Mailing Address:
B1 CALLE SANTA CRUZ STE. 406
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00961-6933
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-779-6896
Provider Business Mailing Address Fax Number:
787-785-7277

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARIMED PLAZA
Provider Second Line Business Practice Location Address:
B1 CALLE SANTA CRUZ STE. 406
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961-6933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-740-2270
Provider Business Practice Location Address Fax Number:
787-785-7277
Provider Enumeration Date:
04/24/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARIAS BENABE
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
GEN PTR
Authorized Official Telephone Number:
787-779-6896

Provider Taxonomy Codes

  • Taxonomy code: 2081N0008X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2081S0010X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)