Active NPI
Jra Alternative Rehab PSC
- Physical Medicine & Rehabilitation Physician
- San Juan, PR
National Provider Identifier
1295046027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 16252
- Legal business name
- JRA ALTERNATIVE REHAB PSC
- Practice address
- 126 Ave de Diego
Sein Medical Plaza, Suite 202
San Juan, PR 00921-3036 - Phone
- (787) 208-2366
- NPI assigned
- Jun 26, 2010
- 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
- Dr. Jose Angel Rodriguez Archilla, M.D.
- Title
- President
- Phone
- (787) 208-2366
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 16252 | PR | Primary |
Addresses
Primary practice location
126 Ave de Diego
Sein Medical Plaza, Suite 202
San Juan, PR 00921-3036
Mailing address
Senderos En Montehiedra
Calle Malaquita, #31
San Juan, PR 00926
Phone (787) 208-2366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
126 Ave de Diego
Ste 202
San Juan, PR 00921
Phone (787) 208-2366
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- San Juan, PR
- NPI 1255532529
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Juan, PR
- NPI 1831107184
-
- Family Medicine Physician
- San Juan, PR
- NPI 1770508095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1295046027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SENDEROS EN MONTEHIEDRA",
"address_2": "CALLE MALAQUITA, #31",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-208-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 AVE DE DIEGO",
"address_2": "SEIN MEDICAL PLAZA, SUITE 202",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213036",
"telephone_number": "787-208-2366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JRA ALTERNATIVE REHAB PSC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-26",
"last_updated": "2013-02-20",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ ARCHILLA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-208-2366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "PR",
"license": "16252",
"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 Feb 20, 2013; 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.