NPIMap

Organization Active NPI

Physiatry Center, P. S. C.

  • Physical Medicine & Rehabilitation Physician
  • Cayey, PR
National Provider Identifier
1205810298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
7249 Issued in PR
Legal business name
PHYSIATRY CENTER, P. S. C.
Practice address
12 Calle H Mendoza
Cayey, PR 00736
Phone
(787) 263-6464
Fax
(787) 263-6466
NPI assigned
Dec 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose L. Colon- Dueno, M.D.
Title
President
Phone
(787) 748-1726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7249 PR Primary

Addresses

Primary practice location

12 Calle H Mendoza
Cayey, PR 00736

Mailing address

PO Box 195004
San Juan, PR 00919-5004
Phone (787) 748-1726

Other identifiers 2

IdentifierTypeStateIssuer
7360021OtherPRHUMANA
84762PHOtherPRTRIPLE-S

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080806000632 PR Part B Supplier - Clinic/Group Practice 5294809406 Receives reassigned benefits from 4 practitioners
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205810298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195004",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195004",
            "telephone_number": "787-748-1726",
            "fax_number": "787-748-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE H MENDOZA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-6464",
            "fax_number": "787-263-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY CENTER, P. S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLON- DUENO",
        "authorized_official_first_name": "JOSE L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-748-1726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7360021",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "84762PH",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.