Organization Active NPI

Servicios Fisiatricos del Este, PSC

  • Physical Therapy Clinic/Center
  • Fajardo, PR
National Provider Identifier
1417269408
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8157 Issued in PR
Legal business name
SERVICIOS FISIATRICOS DEL ESTE, PSC
Practice address
375 General Valero Ave.
Suite 101
Fajardo, PR 00738
Phone
(787) 860-1300
Fax
(787) 863-8300
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Lidia R Garib, M.D.
Title
Propietary
Phone
(787) 860-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8157 PR Primary

Addresses

Primary practice location

375 General Valero Ave.
Suite 101
Fajardo, PR 00738

Mailing address

PMB 201 PO Box 70005
Fajardo, PR 00738-7005
Phone (787) 860-1300

National Provider Directory

National Provider Directory

Locations

375 Ave General Valero
Ste 101
Fajardo, PR 00738
Phone (787) 474-6000

Practitioners & affiliated clinicians

Practitioners 3

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": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1417269408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 201 PO BOX 70005",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007387005",
            "telephone_number": "787-860-1300",
            "fax_number": "787-863-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 GENERAL VALERO AVE.",
            "address_2": "SUITE 101",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-1300",
            "fax_number": "787-863-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS FISIATRICOS DEL ESTE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "GARIB",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPIETARY",
        "authorized_official_telephone_number": "787-860-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.