San Pablo Physical Medicine Psc
NPI #1679625131 in Bayamon, Puerto Rico
Provider Information
- NPI Number
- 1679625131
- Entity Type
- Organization
- Organization Name
- San Pablo Physical Medicine Psc
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Apr 3, 2025
Practice Location
- Address
- TORRE SAN PABLO # 68 SANTA CRUZ ST.
- Address 2
- SUITE 603
- City
- Bayamon
- State
- Puerto Rico
- ZIP Code
- 00961-7035
- Phone
- (787) 786-2469
Authorized Official
- Name
- DR. IVELISSE GONZALEZ, M.D.
- Title
- PRESIDENT
- Phone
- (787) 786-2469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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