Organization Active NPI

Advanced Physiotherapy Center Copr

  • Physical Therapy Clinic/Center
  • San Sebastian, PR
National Provider Identifier
1245578905
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1365 Issued in PR
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.