Centro de Medicina Fisica Y Rehabilitacion Rio Grande,Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CENTRO DE MEDICINA FISICA Y REHABILITACION RIO GRANDE,INC

Practice address

B18 Calle Garcia de la Noceda
Villas de Rio Grande
Rio Grande, PR 00745-0000

Phone

(787) 887-2555

Fax

(787) 657-5600

NPI assigned

Feb 23, 2006

Last updated

Dec 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isamaris Ortiz FuentesNPI 1134138001

Title

President

Phone

(787) 887-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Isamaris Ortiz Fuentes, DPT

  • Physical Therapist
  • Rio Grande, PR
  • NPI 1134138001
  Medicare reassignment NPD Authorized official
• Ninna S Rivera Correa

  • Physical Therapy Assistant
  • Rio Grande, PR
  • NPI 1861500779
  NPD

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1447226238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2884",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452884",
            "telephone_number": "787-887-2555",
            "fax_number": "787-657-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B18 CALLE GARCIA DE LA NOCEDA",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-887-2555",
            "fax_number": "787-657-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA FISICA Y REHABILITACION RIO GRANDE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "ORTIZ FUENTES",
        "authorized_official_first_name": "ISAMARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-887-2555"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "85426",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centro de Diagnostico Y Tratamiento Rio Grande (CDT Rio Grande)
• Centro de Especialistas Cuidad del Yunque
• Centro de Evaluacion Y Tratamiento Psicologico del Noreste CSP
• Centro de Medicina Avanzada de Rio Grande LLC
• Centro de Medicina Familiar LLC
• Centro de Servicios Individualizados Zurisadai
• Centro Denal Pediatrico Smiles 'R' US CSP
• Centro Diagnostico Y Tratamiento de Rio Grande
• Centro Psicologico Y Terapeutico Para la Familia Encuentro (Centro Psicologico y Terapeutico para la Familia, Encuentro Inc)
• Zuleyka Cepeda-Velazquez, BSN

• Physical Therapy Clinic/Center in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.