Grupo Fisiatrico-Dental del Este, Corp.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

10386 Issued in PR

Legal business name

GRUPO FISIATRICO-DENTAL DEL ESTE, CORP.

Practice address

Jardines de Rio Grande
Calle 54 BG-176
Rio Grande, PR 00745

Phone

(787) 887-1110

Fax

(787) 888-7008

NPI assigned

Jul 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo A Rodriguez, MDNPI 1457314957

Title

President

Phone

(787) 887-1110

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo A Rodriguez, MD

  • Physical Medicine & Rehabilitation Physician
  • Rio Grande, PR
  • NPI 1457314957
  Medicare reassignment NPD Authorized official
• Nelmarie J Perez, D.M.D.

  • Dentist
  • Rio Grande, PR
  • NPI 1225243538
  NPD (past)
• Nelson A Perez, DMD

  • Dentist
  • Rio Grande, PR
  • NPI 1043217516
  NPD (past)
• William Antonio Santana Esquilin, R.P.T

  • Physical Therapist
  • Canovanas, PR
  • NPI 1013900711
  NPD (past)

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1265874689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN FRANCISCO",
            "address_2": "225 CALLE VIOLETA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276223",
            "telephone_number": "787-887-1110",
            "fax_number": "787-888-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JARDINES DE RIO GRANDE",
            "address_2": "CALLE 54 BG-176",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-1110",
            "fax_number": "787-888-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO FISIATRICO-DENTAL DEL ESTE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-887-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "1780",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "10386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Handy Home Care

• Physical Medicine & Rehabilitation Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.