Organization Active NPI

Physical Medicine Consultants Centro Fisiatrico del Caribe

  • Physical Medicine & Rehabilitation Physician
  • Luquillo, PR
National Provider Identifier
1407107337
Registry record updated Jan 21, 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
PHYSICAL MEDICINE CONSULTANTS CENTRO FISIATRICO DEL CARIBE
Practice address
St 193 KM 1.0
Playa Azul Center Suite 4
Luquillo, PR 00773
Phone
(787) 889-6012
Fax
(787) 889-3191
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Dr. Dennise T Monserrate, MDNPI 1508972985
Title
Ceo
Phone
(787) 889-6012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 11346 PR Primary

Addresses

Primary practice location

St 193 KM 1.0
Playa Azul Center Suite 4
Luquillo, PR 00773

Mailing address

PO Box 1449
Luquillo, PR 00773-1449
Phone (787) 889-6012

Other names 1

  • CENTRO FISIATRICO CEL CARIBE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000165 PR Part B Supplier - Clinic/Group Practice 3072767151 Receives reassigned benefits from 2 practitioners
Practice locations: Luquillo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1407107337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007731449",
            "telephone_number": "787-889-6012",
            "fax_number": "787-889-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST 193 KM 1.0",
            "address_2": "PLAYA AZUL CENTER SUITE 4",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-889-6012",
            "fax_number": "787-889-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CONSULTANTS CENTRO FISIATRICO DEL CARIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "MONSERRATE",
        "authorized_official_first_name": "DENNISE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-889-6012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "11346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO FISIATRICO CEL CARIBE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luquillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.