NPIMap

Organization Active NPI

Instituto Metropolitano de Medicina Fisica

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1366550287
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11346 Issued in PR
Legal business name
INSTITUTO METROPOLITANO DE MEDICINA FISICA
Practice address
1789 Carr 21
Ste 405 Torre del Metropolitano
San Juan, PR 00921-3333
Phone
(787) 775-2685
Fax
(787) 277-0362
NPI assigned
Aug 29, 2006
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Sandra Aguoyo
Title
Physician & PM&R
Phone
(787) 775-2685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 11346 PR Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 9894 PR

Addresses

Primary practice location

1789 Carr 21
Ste 405 Torre del Metropolitano
San Juan, PR 00921-3333

Mailing address

J16 Calle 2
Ste 110 Edif Medico Hnas Davila
Bayamon, PR 00959-5041
Phone (787) 775-2685

National Provider Directory

National Provider Directory

Locations

J16 Calle 2
Ste 110
Bayamon, PR 00959
Phone (787) 775-2685

1789 Carr 21
Ste 405
San Juan, PR 00921
Phone (787) 775-2685

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1366550287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J16 CALLE 2",
            "address_2": "STE 110 EDIF MEDICO HNAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595041",
            "telephone_number": "787-775-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 CARR 21",
            "address_2": "STE 405 TORRE DEL METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213333",
            "telephone_number": "787-775-2685",
            "fax_number": "787-277-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO METROPOLITANO DE MEDICINA FISICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "AGUOYO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICIAN & PM&R",
        "authorized_official_telephone_number": "787-775-2685"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "11346",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "9894",
            "primary": false
        }
    ],
    "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 Aug 13, 2013; 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.