Active NPI
Instituto Fisiatrico de Aibonito CSP
- Corporate Health Clinic/Center
- Aibonito, PR
National Provider Identifier
1194170175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- License
- 12266
- Legal business name
- INSTITUTO FISIATRICO DE AIBONITO CSP
- Practice address
- 110 Calle Jose C Vazquez
Frente Hospital Menonita
Aibonito, PR 00705 - Phone
- (787) 735-2445
- Fax
- (787) 991-0885
- NPI assigned
- Apr 27, 2016
- 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
- Dr. Marie C Lugo, MD
- Title
- President
- Phone
- (787) 486-7168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corporate Health Clinic/Center | 261QC1800X | 12266 | PR | Primary |
Addresses
Primary practice location
110 Calle Jose C Vazquez
Frente Hospital Menonita
Aibonito, PR 00705
Mailing address
PO Box 197
La Plata, PR 00786-0197
Phone (787) 735-2445
Other names 1
- NONE
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 Medicine & Rehabilitation Physician
- Aibonito, PR
- NPI 1679675722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461715200000",
"number": "1194170175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 197",
"city": "LA PLATA",
"state": "PR",
"postal_code": "007860197",
"telephone_number": "787-735-2445",
"fax_number": "787-991-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CALLE JOSE C VAZQUEZ",
"address_2": "FRENTE HOSPITAL MENONITA",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-735-2445",
"fax_number": "787-991-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTO FISIATRICO DE AIBONITO CSP",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-27",
"last_updated": "2016-04-27",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-486-7168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": "PR",
"license": "12266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NONE",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.