SAN PABLO PHYSICAL MEDICINE PSC; NPI #1679625131

Contact Information

SAN PABLO PHYSICAL MEDICINE PSC

TORRE SAN PABLO # 68 SANTA CRUZ ST.
SUITE 603
BAYAMON, PR 00961-7035

Phone: 787-786-2469
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for SAN PABLO PHYSICAL MEDICINE PSC

NPI Number	`1679625131`
LBN Legal business name	SAN PABLO PHYSICAL MEDICINE PSC
Authorized official	IVELISSE GONZALEZ - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/17/2007
Last updated	04/03/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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