NPIMap

Organization Active NPI

Elda L. Santiago Perez

Doing business as Centro de Rehabilitacion y Terapia Fisica

  • Physical Therapy Clinic/Center
  • Manati, PR
National Provider Identifier
1164607966
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
367 Issued in PR
Legal business name
ELDA L. SANTIAGO PEREZ
Doing business as
Centro de Rehabilitacion y Terapia Fisica
Practice address
Carr 670 Karoma Plaza
Suite #12
Manati, PR 00674
Phone
(787) 854-1546
Fax
(787) 633-1575
NPI assigned
Dec 31, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Elda L Santiago-Perez, RPTNPI 1679677108
Title
Administrator
Phone
(787) 854-1546

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 367 PR Primary

Addresses

Primary practice location

Carr 670 Karoma Plaza
Suite #12
Manati, PR 00674

Mailing address

PO Box 2191
Manati, PR 00674-2191
Phone (787) 854-1546

Other identifiers 1

IdentifierTypeStateIssuer
84143SAMedicaidPR

Other names 1

  • Centro de Rehabilitacion y Terapia Fisica Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1164607966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2191",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742191",
            "telephone_number": "787-854-1546",
            "fax_number": "787-633-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 670 KAROMA PLAZA",
            "address_2": "SUITE #12",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-1546",
            "fax_number": "787-633-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDA L. SANTIAGO PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO-PEREZ",
        "authorized_official_first_name": "ELDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-854-1546",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84143SA",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Rehabilitacion y Terapia Fisica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.