NPIMap

Organization Active NPI

Grupo Fisiatrico Torre Auxilio Mutuo

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1184613002
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GRUPO FISIATRICO TORRE AUXILIO MUTUO
Practice address
Condominio Torre Auxilio Mutuo 735
Ave Ponce de Leon, Ste 417
San Juan, PR 00917
Phone
(787) 296-3081
NPI assigned
Oct 14, 2005
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Jose E Arias Benabe, M.D.NPI 1376531731
Title
Fisiatra
Phone
(787) 296-3081

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU
Physical Therapist 225100000X NU
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X NU

Addresses

Primary practice location

Condominio Torre Auxilio Mutuo 735
Ave Ponce de Leon, Ste 417
San Juan, PR 00917

Mailing address

Condominio Torre Auxilio Mutuo 735
Ave Ponce de Leon, Ste 417
San Juan, PR 00917
Phone (787) 296-3081

Other names 1

  • GRUPO FISIATRICO TORRE AUXILIO MUTUO Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000988 PR Part B Supplier - Clinic/Group Practice 8921082785 Receives reassigned benefits from 8 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 417
San Juan, PR 00917
Phone (787) 296-3081

Practitioners & affiliated clinicians

Practitioners 11

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": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1184613002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO TORRE AUXILIO MUTUO 735",
            "address_2": "AVE PONCE DE LEON, STE 417",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-296-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO TORRE AUXILIO MUTUO 735",
            "address_2": "AVE PONCE DE LEON, STE 417",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-296-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO FISIATRICO TORRE AUXILIO MUTUO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "ARIAS BENABE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FISIATRA",
        "authorized_official_telephone_number": "787-296-3081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO FISIATRICO TORRE AUXILIO MUTUO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 17, 2024; 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.