NPIMap

Organization Active NPI

Centro de Terapia Fisica Y Clinica del Dolor, CSP

  • Physical Therapist
  • Cidra, PR
National Provider Identifier
1023076288
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTRO DE TERAPIA FISICA Y CLINICA DEL DOLOR, CSP
Practice address
4 Avenida JF Kennedy
Urbanizacion Fernandez
Cidra, PR 00739
Phone
(787) 714-0510
Fax
(787) 714-0185
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Mrs. Esperanza Orellana, RPTANPI 1013945450
Title
Vice Presidenta Administradora
Phone
(787) 714-0510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225200000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

4 Avenida JF Kennedy
Urbanizacion Fernandez
Cidra, PR 00739

Mailing address

4 Avenida JF Kennedy
Urbanizacion Fernandez
Cidra, PR 00739
Phone (787) 714-0510

Other identifiers 11

IdentifierTypeStateIssuer
223205OtherPREFERRED UTI
6400208OtherHUMANA REFORMA
870044OtherMMM
04232OtherAMERICAN HEALTH
79809OtherCFSE
584576598OtherGIGNA PREFERRED EXCLUSIVE
4177OtherFIRST MEDICAL
60565208OtherFIRST PLUS
M000409OtherMEN
6400208OtherHUMANA INSURANCE
3303543OtherACAA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140609000768 PR Part B Supplier - Clinic/Group Practice 1951525120 Receives reassigned benefits from 3 practitioners
Practice locations: Cidra, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1023076288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVENIDA JF KENNEDY",
            "address_2": "URBANIZACION FERNANDEZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-0510",
            "fax_number": "787-714-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVENIDA JF KENNEDY",
            "address_2": "URBANIZACION FERNANDEZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-0510",
            "fax_number": "787-714-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TERAPIA FISICA Y CLINICA DEL DOLOR, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "ESPERANZA",
        "authorized_official_title_or_position": "VICE PRESIDENTA ADMINISTRADORA",
        "authorized_official_telephone_number": "787-714-0510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED UTI",
            "identifier": "223205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA REFORMA",
            "identifier": "6400208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "870044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "04232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFSE",
            "identifier": "79809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIGNA PREFERRED EXCLUSIVE",
            "identifier": "584576598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "4177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "60565208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEN",
            "identifier": "M000409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6400208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "3303543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.