Organization Active NPI

Guaynabo Physical Medicine & Sports Center

  • Physical Medicine & Rehabilitation Physician
  • Guaynabo, PR
National Provider Identifier
1356421002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GUAYNABO PHYSICAL MEDICINE & SPORTS CENTER
Practice address
100 Carr 165 Ste 303
Guaynabo, PR 00968-8049
Phone
(787) 277-0871
Fax
(787) 277-0942
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Ana T Acevedo, M.D.
Title
Proprietor
Phone
(787) 277-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

100 Carr 165 Ste 303
Guaynabo, PR 00968-8049

Mailing address

PO Box 195620
San Juan, PR 00919-5620
Phone (787) 277-0871

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356421002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195620",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195620",
            "telephone_number": "787-277-0871",
            "fax_number": "787-277-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 303",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688049",
            "telephone_number": "787-277-0871",
            "fax_number": "787-277-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO PHYSICAL MEDICINE & SPORTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "787-277-0871",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.