Rehabilitacion Y Medicina Deportiva Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14361 Issued in PR

Legal business name

REHABILITACION Y MEDICINA DEPORTIVA INC

Practice address

Ave Fragojo #4Es12
Villa Fontana
Carolina, PR 00983

Phone

(787) 276-7006

Fax

(787) 276-7030

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By 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

Mr. Michael Hernandez, MD

Title

MD Partner Vice President

Phone

(787) 276-7006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Hernandez MD Other name

Tax ID family

Michael Hernandez MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rehabilitacion Y Medicina Deportiva

  • Physical Therapy Clinic/Center
  • Carolina, PR
  • NPI 1710976998
  NPD tax ID

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225196496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "address_2": "PMB 122",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009772500",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE FRAGOJO #4ES12",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITACION Y MEDICINA DEPORTIVA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD PARTNER VICE PRESIDENT",
        "authorized_official_telephone_number": "787-276-7006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "14361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CO",
            "identifier": "A 391",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Hernandez MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Recinto de Ciencias Medicas
• Recinto de Ciencias Medicas
• Refuerzo Educativo Y Mucho Mas, Inc.
• Regen Medical Group, LLC
• Rehabilitacion Y Medicina Deportiva
• Luis Alberto Reimon, MD
• Rema Centro de Terapia Integral Inc.
• Luis Renta Rosa, MD
• Joely Enid Rentas-Rivera
• Jannelly Restituyo Rosario, DMD

• Physical Therapist in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Therapist in Puerto Rico

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.