Provider Demographics
NPI:1871701375
Name:SERVICIOS REMEDIALES INTENSIVOS DE REHABILITACION
Entity type:Organization
Organization Name:SERVICIOS REMEDIALES INTENSIVOS DE REHABILITACION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERO GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:P T
Authorized Official - Phone:787-788-5759
Mailing Address - Street 1:EAST OCEAN DR NUMBER 20
Mailing Address - Street 2:BAY VIEW
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-4236
Mailing Address - Country:US
Mailing Address - Phone:787-788-5759
Mailing Address - Fax:787-788-5759
Practice Address - Street 1:20 CALLE OCEAN DR
Practice Address - Street 2:BAY VIEW
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-4236
Practice Address - Country:US
Practice Address - Phone:787-788-5759
Practice Address - Fax:787-788-5759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR592174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1275540627OtherNPI
PR1275540627OtherNPI