NPIMap

Organization Active NPI

Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc

Doing business as Ser de Puerto Rico

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1356388532
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SOCIEDAD DE EDUCACION Y REHABILITACION SER DE PUERTO RICO INC
Doing business as
Ser de Puerto Rico
Practice address
500 Calle Baez
Urb. Perez Moris
San Juan, PR 00917-5020
Phone
(787) 767-6710
Fax
(787) 758-0950
NPI assigned
May 31, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Ms. Nilda Rosa Morales
Title
President and Ceo
Phone
(787) 767-6710

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Clinical Child & Adolescent Psychologist 103TC2200X
Social Worker 104100000X
Pediatric Rheumatology Physician 2080P0216X
Physical Medicine & Rehabilitation Physician 208100000X Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Physical Therapy Clinic/Center 261QP2000X
Pediatric Orthopaedic Surgery Physician 207XP3100X

Addresses

Primary practice location

500 Calle Baez
Urb. Perez Moris
San Juan, PR 00917-5020

Mailing address

PO Box 364189
San Juan, PR 00936-4189
Phone (787) 767-6710

Other practice location 1

1274 Ave Hostos
Ponce, PR 00717-0948
Phone (787) 813-1972

Other practice location 2

677 Calle Escolastico Lopez
Ceiba, PR 00735-2834
Phone (787) 719-5444

Other names 1

  • SER DE PUERTO RICO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050906000774 PR Part B Supplier - Clinic/Group Practice 6901838408 Receives reassigned benefits from 16 practitioners
Practice locations: San Juan, PR
O20060510000543 PR Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6901838408 Practice locations: Ceiba, PR; Hato Rey, PR; Ponce, PR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
40D2193584Sociedad de Educacion Y Rehabilitacion de Puerto R500 Calle Baez Urb Perez Moris, Hato Rey, PR 00917Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

Locations

1274 Ave Hostos
Ponce, PR 00717
Phone (787) 813-1920

500 Calle Baez
San Juan, PR 00917
Phone 787767671067

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1356388532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364189",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364189",
            "telephone_number": "787-767-6710",
            "fax_number": "787-758-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CALLE BAEZ",
            "address_2": "URB. PEREZ MORIS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175020",
            "telephone_number": "787-767-6710",
            "fax_number": "787-758-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1274 Ave Hostos",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007170948",
            "country_code": "US",
            "telephone_number": "787-813-1972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Calle Escolastico Lopez",
            "address_purpose": "LOCATION",
            "city": "Ceiba",
            "state": "PR",
            "postal_code": "007352834",
            "country_code": "US",
            "telephone_number": "787-719-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIEDAD DE EDUCACION Y REHABILITACION SER DE PUERTO RICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-03-11",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "NILDA",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "787-767-6710",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SER DE PUERTO RICO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SER DE PUERTO RICO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.