Grupo Medico Concepto Fisico

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10944 Issued in PR

Legal business name

GRUPO MEDICO CONCEPTO FISICO

Practice address

5 Calle Duque
Guayama, PR 00784-5507

Phone

(787) 864-8471

Fax

(787) 866-6558

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Luz M Caraballo

Title

Administradora

Phone

(787) 864-8471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1023451002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850900",
            "telephone_number": "787-864-8471",
            "fax_number": "787-866-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE DUQUE",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845507",
            "telephone_number": "787-864-8471",
            "fax_number": "787-866-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO CONCEPTO FISICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-864-8471",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "10944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmillyvee Gonzalez
• Jose Javier Gonzalez, RN
• Marielly Gonzalez, PSY.D.
• Myrna Gonzalez
• Samuel A Gonzalez, MD
• Grupo Pediatria 2000
• Grupo Terapia Fisica Arco Reflejo, LLC
• Guayama Diagnostics
• Guayama Diagnostics CSP
• Guayama Family Practice, LLC

• Physical Therapy Clinic/Center in Guayama, PR
• Providers in Guayama, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.