Clinica Terapia Fisica Isla Verde

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CLINICA TERAPIA FISICA ISLA VERDE

Practice address

Ave Laguna
Suite 116
Carolina, PR 00979-6525

Phone

(787) 253-0396

Fax

(787) 791-5104

NPI assigned

Mar 27, 2014

Last updated

Mar 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lissette M Acosta Rivera

Title

Administradora

Phone

(787) 253-0396

Specialties & licenses 1

Addresses

Other names 1

• Clinica Terapia Fisica Isla Verde Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 4

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.

• Abigail Meletiche-Ferrer

  • Physical Therapist
  • San Juan, PR
  • NPI 1487828588
  Medicare reassignment Care Compare group NPD
• Carmen Lydia Rijos Figueroa, PHYSICAL THERAPIST

  • Physical Therapist
  • San Juan, PR
  • NPI 1093305161
  Medicare reassignment Care Compare group NPD
• Ada Y Diaz-Colon

  • Physical Therapist
  • Carolina, PR
  • NPI 1659545333
  Medicare reassignment NPD
• Lissette Acosta Rivera

  • Specialist
  • Trujillo Alto, PR
  • NPI 1679797187
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1215354261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1917",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771917",
            "telephone_number": "787-253-0396",
            "fax_number": "787-191-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAGUNA",
            "address_2": "SUITE 116",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796525",
            "telephone_number": "787-253-0396",
            "fax_number": "787-791-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA TERAPIA FISICA ISLA VERDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "ACOSTA RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-253-0396"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Terapia Fisica Isla Verde",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.