Organization Active NPI

Servicios Rehabilitacion del Norte, CSP

  • Physical Medicine & Rehabilitation Physician
  • Arecibo, PR
National Provider Identifier
1417035585
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SERVICIOS REHABILITACION DEL NORTE, CSP
Practice address
Calle Palmer 55 - Hospital Dr. Susoni
Arecibo, PR 00614
Phone
(787) 650-1030
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Jaime Marrero, M.D.
Title
President
Phone
(787) 855-8624

Specialties & licenses 1

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

Addresses

Primary practice location

Calle Palmer 55 - Hospital Dr. Susoni
Arecibo, PR 00614

Mailing address

PO Box 4215
Vega Baja, PR 00694-4215
Phone (787) 855-8624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000350 PR Part B Supplier - Clinic/Group Practice 2163591165 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1417035585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4215",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944215",
            "telephone_number": "787-855-8624",
            "fax_number": "787-650-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER 55 - HOSPITAL DR. SUSONI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00614",
            "telephone_number": "787-650-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS REHABILITACION DEL NORTE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-855-8624",
        "authorized_official_name_prefix": "Dr.",
        "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 Arecibo, PR

Sources for this page

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