Organization Active NPI

Iturregui Rehab Center CSP

  • Physical Therapy Clinic/Center
  • San Juan, PR
National Provider Identifier
1174895726
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
730 Issued in NY
Legal business name
ITURREGUI REHAB CENTER CSP
Practice address
Santurce Medical Mall
Ave Ponce de Leon 1801 Suite 312
San Juan, PR 00909-0000
Phone
(787) 757-2146
Fax
(787) 757-2146
NPI assigned
Jan 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Mrs. Milagros Otero, P.T.NPI 1982755617
Title
President
Phone
(787) 757-2146

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 730 NY Primary

Addresses

Primary practice location

Santurce Medical Mall
Ave Ponce de Leon 1801 Suite 312
San Juan, PR 00909-0000

Mailing address

PO Box 2809
Bayamon, PR 00960-2809
Phone (787) 757-2146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002000931 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971811464 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

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.

NPI Registry JSON

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1174895726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2809",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602809",
            "telephone_number": "787-757-2146",
            "fax_number": "787-757-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTURCE MEDICAL MALL",
            "address_2": "AVE PONCE DE LEON 1801 SUITE 312",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009090000",
            "telephone_number": "787-757-2146",
            "fax_number": "787-757-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITURREGUI REHAB CENTER CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-29",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-757-2146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.