Organization Active NPI

Centro de Terapia Muscular LLC

  • Physical Therapy Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1184100760
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CENTRO DE TERAPIA MUSCULAR LLC
Practice address
740 Avenida de Hostos Carretera 2
Medical Center Plaza Suite 212
Mayaguez, PR 00680
Phone
(787) 949-6590
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Raul O Martinez Lugo, LMTNPI 1962905281
Title
Manager
Phone
(787) 949-6590

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 Primary

Addresses

Primary practice location

740 Avenida de Hostos Carretera 2
Medical Center Plaza Suite 212
Mayaguez, PR 00680

Mailing address

740 Avenida de Hostos Carretera 2
Medical Center Plaza Suite 212
Mayaguez, PR 00680
Phone (787) 949-6590

Other identifiers 1

IdentifierTypeStateIssuer
1962905281OtherNPI

National Provider Directory

National Provider Directory

Locations

740 Ave Hostos
Ste 212
Mayaguez, PR 00682
Phone (787) 949-6590

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": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1184100760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 AVENIDA DE HOSTOS CARRETERA 2",
            "address_2": "MEDICAL CENTER PLAZA SUITE 212",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-949-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 AVENIDA DE HOSTOS CARRETERA 2",
            "address_2": "MEDICAL CENTER PLAZA SUITE 212",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-949-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TERAPIA MUSCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ LUGO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-949-6590",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962905281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.