Active NPI
Rehabibilitacion Ponce de Leon Clinica de Terapia Fisica
- Physical Therapist
- Yauco, PR
National Provider Identifier
1417942640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0731
- Legal business name
- REHABIBILITACION PONCE DE LEON CLINICA DE TERAPIA FISICA
- Practice address
- 42 Calle Mattei Lluberas
Suite 1
Yauco, PR 00698-3630 - Phone
- (787) 856-5272
- Fax
- (787) 856-8421
- NPI assigned
- Sep 14, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edgardo Acosta Sr.
- Title
- Administrdor
- Phone
- (787) 856-5272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0731 | PR | Primary |
Addresses
Primary practice location
42 Calle Mattei Lluberas
Suite 1
Yauco, PR 00698-3630
Mailing address
42 Calle Mattei Lluberas
Suite 1
Yauco, PR 00698-3630
Phone (787) 856-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084104 | Other | PR | TRIPLE S |
National Provider Directory
National Provider DirectoryLocations
42 Calle Mattei Lluberas
Ste 1
Yauco, PR 00698
Phone (787) 856-5272
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Yauco, PR
- NPI 1962629154
-
- Physical Medicine & Rehabilitation Physician
- Kissimmee, FL
- NPI 1124289228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417942640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CALLE MATTEI LLUBERAS",
"address_2": "SUITE 1",
"city": "YAUCO",
"state": "PR",
"postal_code": "006983630",
"telephone_number": "787-856-5272",
"fax_number": "787-856-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CALLE MATTEI LLUBERAS",
"address_2": "SUITE 1",
"city": "YAUCO",
"state": "PR",
"postal_code": "006983630",
"telephone_number": "787-856-5272",
"fax_number": "787-856-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABIBILITACION PONCE DE LEON CLINICA DE TERAPIA FISICA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ACOSTA",
"authorized_official_first_name": "EDGARDO",
"authorized_official_title_or_position": "ADMINISTRDOR",
"authorized_official_telephone_number": "787-856-5272",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "0731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "0084104",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.