Centro de Rehabilitacion Y Electrodiagnostico de Hato Rey, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CENTRO DE REHABILITACION Y ELECTRODIAGNOSTICO DE HATO REY, LLC

Practice address

419 Ponce de Leon
Edificio Metropolis Suite 102
San Juan, PR 00917-3403

Phone

(787) 754-0725

Fax

(787) 622-3490

NPI assigned

Sep 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miguel P Cardona, M.D.

Title

Owner

Phone

(787) 754-0725

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel P. Cardona Cancio, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1033103320
  Medicare reassignment Care Compare group NPD
• Carla M Matos-Rodriguez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1336421726
  Medicare reassignment Care Compare group NPD
• Loida R Vendrell, TERAPISTA FISICO

  • Physical Therapist
  • San Juan, PR
  • NPI 1437239134
  Medicare reassignment Care Compare group NPD
• Melba Ramos, RPT

  • Physical Therapist
  • San Juan, PR
  • NPI 1376752519
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1013009984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PONCE DE LEON",
            "address_2": "EDIFICIO METROPOLIS SUITE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173403",
            "telephone_number": "787-754-0725",
            "fax_number": "787-622-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PONCE DE LEON",
            "address_2": "EDIFICIO METROPOLIS SUITE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173403",
            "telephone_number": "787-754-0725",
            "fax_number": "787-622-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE REHABILITACION Y ELECTRODIAGNOSTICO DE HATO REY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-754-0725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "9491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Centro de Salud Mental de San Patricio
• Centro de Salud Mental Integrado PSC

• Physical Medicine & Rehabilitation Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.