Organization Active NPI

Centro de Terapia Fisica Y Medicina Deportiva San Sebastian

  • Physical Therapy Clinic/Center
  • San Sebastian, PR
National Provider Identifier
1336359751
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1168 Issued in PR
Legal business name
CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA SAN SEBASTIAN
Practice address
Calle Jose Mendez Cardona #3
San Sebastian, PR 00678
Phone
(787) 896-2335
Fax
(787) 896-2335
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Idalysa Morales, RPT
Title
Physical Therapist Owner
Phone
(787) 896-2335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1168 PR Primary

Addresses

Primary practice location

Calle Jose Mendez Cardona #3
San Sebastian, PR 00678

Mailing address

Urb El Retiro Calle 2 C-5
Quebradillas, PR 00678
Phone (787) 896-2335

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherPRSSN
1023049665OtherPRNPI INDIVIDUO

Other names 1

  • IDALYSA MORALES RAMOS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1336359751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL RETIRO CALLE 2 C-5",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-896-2335",
            "fax_number": "787-896-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE MENDEZ CARDONA #3",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-896-2335",
            "fax_number": "787-896-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA SAN SEBASTIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "IDALYSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "787-896-2335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUO",
            "identifier": "1023049665",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDALYSA MORALES RAMOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 21, 2020; 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.