Individual provider Active NPI

Isabel Maria Rutzen-Lopez

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1023302452
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
018954 Issued in PR
Practice address
Centro Medico
Bo Monacillos Ave Americo Miranda
San Juan, PR 00935
Phone
(787) 763-4149
Fax
(787) 999-4048
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 018954 PR Primary
General Practice Physician 208D00000X 18954 PR

Addresses

Primary practice location

Centro Medico
Bo Monacillos Ave Americo Miranda
San Juan, PR 00935

Mailing address

Condominio Santa Maria
139 Carr 177 Apt 802
San Juan, PR 00926-5351
Phone (787) 365-8596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116003006 PR Practitioner - Physical Medicine and Rehabilitation 2860758273 Reassigns benefits to 4 organizations
Practice locations: Naranjito, PR; Rio Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Fisiatrico Torre Auxilio MutuoGroup PAC ID 8921082785, 4 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 417
San Juan, PR 00917-5026
Phone (787) 296-3088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018954PRMDPhysical Medicine & Rehabilitation Physician
18954PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Cancer de la Universidad Single Specialty CurrentSince Dec 17, 2021 Accepting new patients
Centro de Rehabilitacion Y Medicina del Deporte Single Specialty CurrentSince Oct 1, 2017 Accepting new patients
Grupo Fisiatrico de Bayamon PTR Single Specialty CurrentSince Oct 1, 2017 Accepting new patients
Grupo Fisiatrico Torre Auxilio Mutuo Single Specialty CurrentSince Oct 1, 2017 Accepting new patients
Centro de Terapia F de Naranjito Single Specialty Past Accepting new patients

Locations

B1 Calle Santa Cruz
Ste 406
Bayamon, PR 00961
Phone (787) 779-6896

66 Calle Santa Cruz
Ste 301
Bayamon, PR 00961
Phone (787) 740-2270

735 Ave Ponce de Leon
Ste 417
San Juan, PR 00917
Phone (787) 296-3081

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1023302452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO SANTA MARIA",
            "address_2": "139 CARR 177 APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265351",
            "telephone_number": "787-365-8596",
            "fax_number": "787-785-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO",
            "address_2": "BO MONACILLOS AVE AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-763-4149",
            "fax_number": "787-999-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTZEN-LOPEZ",
        "first_name": "ISABEL",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "018954",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.