Active NPI
Centro Terapia Fisica Rexville, Inc
- Physical Therapy Clinic/Center
- Bayamon, PR
National Provider Identifier
1104039841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 562
- Legal business name
- CENTRO TERAPIA FISICA REXVILLE, INC
- Practice address
- BC7 Calle 33
Rexville
Bayamon, PR 00957-4144 - Phone
- (787) 306-3229
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga I Jimenez-Mont
- Title
- Administrator
- Phone
- (787) 306-3229
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 562 | PR | Primary |
Addresses
Primary practice location
BC7 Calle 33
Rexville
Bayamon, PR 00957-4144
Mailing address
RR 4 Box 26936
Toa Alta, PR 00953-9414
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223230 | Other | PR | PREFERRED HEALTH |
| 223230 | Other | PR | UTI |
| P611 | Other | PR | INT MEDICAL CARD |
| 4141 | Other | PR | AMERICAN HEALTH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Bayamon, PR
- NPI 1588877211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1104039841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 4 BOX 26936",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009539414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BC7 CALLE 33",
"address_2": "REXVILLE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009574144",
"telephone_number": "787-306-3229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO TERAPIA FISICA REXVILLE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "JIMENEZ-MONT",
"authorized_official_first_name": "OLGA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-306-3229"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PR",
"license": "562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "223230",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI",
"identifier": "223230",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INT MEDICAL CARD",
"identifier": "P611",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "4141",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.