Active NPI
Advanced Physiotherapy Center Copr
- Physical Therapy Clinic/Center
- San Sebastian, PR
National Provider Identifier
1245578905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1365
- Legal business name
- ADVANCED PHYSIOTHERAPY CENTER COPR
- Practice address
- 526 Ave Emerito Estrada
Suite 2
San Sebastian, PR 00685-3119 - Phone
- (787) 926-1790
- Fax
- (787) 926-1790
- NPI assigned
- Jan 30, 2013
- Last updated
- Jan 30, 2013
- 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
- Mrs. Wanda Ivellise Cruz, MSPT
- Title
- President
- Phone
- (787) 926-1790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1365 | PR | Primary |
Addresses
Primary practice location
526 Ave Emerito Estrada
Suite 2
San Sebastian, PR 00685-3119
Mailing address
PO Box 2839
Moca, PR 00676-2839
Phone (787) 926-1790
National Provider Directory
National Provider DirectoryLocations
526 Ave Emerito Estrada
Ste 2
San Sebastian, PR 00685
Phone (787) 926-1790
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- San Sebastian, PR
- NPI 1831466721
-
- Physical Medicine & Rehabilitation Physician
- Anasco, PR
- NPI 1013185297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359504000000",
"number": "1245578905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2839",
"city": "MOCA",
"state": "PR",
"postal_code": "006762839",
"telephone_number": "787-926-1790",
"fax_number": "787-926-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 AVE EMERITO ESTRADA",
"address_2": "SUITE 2",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006853119",
"telephone_number": "787-926-1790",
"fax_number": "787-926-1790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PHYSIOTHERAPY CENTER COPR",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "IVELLISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-926-1790",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PR",
"license": "1365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.