Provider Demographics
NPI:1366408403
Name:CARIBBEAN REHABILITATION SERVICES, PSC
Entity type:Organization
Organization Name:CARIBBEAN REHABILITATION SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-751-4551
Mailing Address - Street 1:PO BOX 11746
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-2846
Mailing Address - Country:US
Mailing Address - Phone:787-751-4551
Mailing Address - Fax:787-751-4582
Practice Address - Street 1:PLAZA SAN FRANCISCO
Practice Address - Street 2:201 AVE. DE DIEGO, SUITE 154
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5812
Practice Address - Country:US
Practice Address - Phone:787-751-4551
Practice Address - Fax:787-751-4582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5935261QR0400X, 261QX0100X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR584221714OtherHUMANA HEALTH PLAN OF PR
PR065770OtherCRUZ AZUL
PR223050OtherPREFERRED HEALTH
PR97542OtherTRIPLE-S, INC.
PA2033OtherINTERNATIONAL MEDICAL CAR
PR52236OtherFONDO DEL SEGURO DEL ESTA
PR584221714OtherCIGNA
PR=========OtherCOSVI
PR97542OtherTRIPLE-S, INC.
PR065770OtherCRUZ AZUL
PR52236OtherFONDO DEL SEGURO DEL ESTA
PRD32957Medicare UPIN