NPIMap

Organization Active NPI

Clinica de Medicina Fisica Y Electrodiagnostico Inc.

  • Physical Medicine & Rehabilitation Physician
  • Aguada, PR
National Provider Identifier
1376947267
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CLINICA DE MEDICINA FISICA Y ELECTRODIAGNOSTICO INC.
Practice address
Rd#2 KM 133.5
Centerplex BLD Suite 103
Aguada, PR 00602
Phone
(787) 891-4833
Fax
(787) 882-5405
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Mr. Francisco L Pereira
Title
President
Phone
(787) 385-8543

Specialties & licenses 1

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

Addresses

Primary practice location

Rd#2 KM 133.5
Centerplex BLD Suite 103
Aguada, PR 00602

Mailing address

114 Calle Central
Aguada, PR 00602-8697
Phone (787) 891-4833

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Medicina Fisica Y Electrodiagnostico Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1376947267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CALLE CENTRAL",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006028697",
            "telephone_number": "787-891-4833",
            "fax_number": "787-882-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RD#2 KM 133.5",
            "address_2": "CENTERPLEX BLD SUITE 103",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-891-4833",
            "fax_number": "787-882-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE MEDICINA FISICA Y ELECTRODIAGNOSTICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-385-8543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.