Organization Active NPI

BRS Physiatry & Sports Medicine PSC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Juan, PR
National Provider Identifier
1275186017
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
BRS PHYSIATRY & SPORTS MEDICINE PSC
Practice address
640 Ave Andalucia
Instituto de Medicina Deportiva Y Manejo del Dolor
San Juan, PR 00920
Phone
(787) 957-5553
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Dr. Belmarie Rodriguez Santiago, MDNPI 1336554245
Title
President
Phone
(787) 957-5553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

640 Ave Andalucia
Instituto de Medicina Deportiva Y Manejo del Dolor
San Juan, PR 00920

Mailing address

PO Box 353
Manati, PR 00674-0353
Phone (787) 957-5553

Other practice location 1

Centro de Terapia Fisica de Barceloneta
Carr 2 Km 57.5 #113 B. Cruce Davila
Barceloneta, PR 00617
Phone (787) 846-6307

Other practice location 2

Centro Fisiatrico y Medicina Deportiva
201 Gautier Benitez Suite 031
Caguas, PR 00726
Phone (787) 258-3275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191125002954 PR Part B Supplier - Clinic/Group Practice 2365875796 Receives reassigned benefits from 1 practitioner
Practice locations: Barceloneta, PR; Manati, PR

National Provider Directory

National Provider Directory

Locations

113 Bo Cruce Davila
Barceloneta, PR 00617

640 Ave Andalucia
San Juan, PR 00920
Phone (787) 461-1780

640 Ave Andalucia
#Y
San Juan, PR 00920
Phone (787) 957-5553

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1275186017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740353",
            "telephone_number": "787-957-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AVE ANDALUCIA",
            "address_2": "INSTITUTO DE MEDICINA DEPORTIVA Y MANEJO DEL DOLOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-957-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro de Terapia Fisica de Barceloneta",
            "address_2": "Carr 2 Km 57.5 #113 B. Cruce Davila",
            "address_purpose": "LOCATION",
            "city": "Barceloneta",
            "state": "PR",
            "postal_code": "00617",
            "country_code": "US",
            "telephone_number": "787-846-6307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Centro Fisiatrico y Medicina Deportiva",
            "address_2": "201 Gautier Benitez Suite 031",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00726",
            "country_code": "US",
            "telephone_number": "787-258-3275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRS PHYSIATRY & SPORTS MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ SANTIAGO",
        "authorized_official_first_name": "BELMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-957-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.