Organization Name: | MADRUGA REHAB CENTERS, LLC |
NPI Number: | 1053776559 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARQUTIA H CATALLO-MADRUGA (MANAGING PARTNER) |
Mailing Address: | 7375 E Orchard Rd Suite 200 Greenwood Village |
State: | CO US |
Postal Code: | 801112569 |
Phone Number: | 3037730771 |
Fax Number: | 3037730773 |
NPI Enumeration Date: | 12/28/2015 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | CO.PTL8977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |