NPIMap

Organization Active NPI

MRN Therapy Holistic Services

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1194776633
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7932 Issued in PR
Legal business name
MRN THERAPY HOLISTIC SERVICES
Practice address
1739 Chirino Offices Plaza
8838 Suite 201
San Juan, PR 00926
Phone
(787) 999-5538
Fax
(787) 999-5539
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Nelson ColonNPI 1003866971
Title
Physical Therapy
Phone
(787) 309-8374

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7932 PR Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1257 PR
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 916 PR

Addresses

Primary practice location

1739 Chirino Offices Plaza
8838 Suite 201
San Juan, PR 00926

Mailing address

PO Box 875
Toa Baja, PR 00951-0875
Phone (787) 309-8374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060605000058 PR Part B Supplier - Clinic/Group Practice 5193736213 Receives reassigned benefits from 7 practitioners
Practice locations: Caguas, PR; Manati, PR; San Juan, PR

National Provider Directory

National Provider Directory

Locations

100 Ave Luis Munoz Marin
Ste 412A
Caguas, PR 00725
Phone (787) 999-5538

Practitioners & affiliated clinicians

Practitioners 7

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1194776633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009510875",
            "telephone_number": "787-309-8374",
            "fax_number": "787-999-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 CHIRINO OFFICES PLAZA",
            "address_2": "8838 SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-999-5538",
            "fax_number": "787-999-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRN THERAPY HOLISTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "787-309-8374"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "7932",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1257",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "916",
            "primary": false
        }
    ],
    "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 Aug 6, 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.