Organization Active NPI

Premium Rehab Center Group Corp.

  • Physical Therapy Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1386272037
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PREMIUM REHAB CENTER GROUP CORP.
Practice address
2826 Ave Dos Palmas
Toa Baja, PR 00949-4106
Phone
(787) 261-5093
Fax
(787) 784-9264
NPI assigned
Mar 30, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Mr. Ariel Vega
Title
President
Phone
(787) 203-6689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2826 Ave Dos Palmas
Toa Baja, PR 00949-4106

Mailing address

2826 Ave Dos Palmas
Toa Baja, PR 00949-4106
Phone (787) 261-5093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1386272037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 AVE DOS PALMAS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494106",
            "telephone_number": "787-261-5093",
            "fax_number": "787-784-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 AVE DOS PALMAS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494106",
            "telephone_number": "787-261-5093",
            "fax_number": "787-784-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM REHAB CENTER GROUP CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-203-6689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.