Active NPI
Guaynabo Physical Medicine & Sports Center
- Physical Medicine & Rehabilitation Physician
- Guaynabo, PR
National Provider Identifier
1356421002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryNPI 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.