Organization Active NPI

Pain Rehabilitation Management

  • Physical Therapy Clinic/Center
  • Yabucoa, PR
National Provider Identifier
1447283353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PAIN REHABILITATION MANAGEMENT
Practice address
2 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3532
Phone
(787) 893-4200
Fax
(787) 893-3272
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Rosa J Martinez Garcia, ANCILLIARNPI 1164645065
Title
Directora de Fisioterapia
Phone
(787) 893-4200

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3532

Mailing address

104 Fairway Dr
Palmas del Mar
Humacao, PR 00791-6021
Phone (787) 502-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000533 PR Part B Supplier - Clinic/Group Practice 9234208141 Receives reassigned benefits from 4 practitioners
Practice locations: Yabucoa, PR; San Lorenzo, PR

National Provider Directory

National Provider Directory

Locations

26 Calle Cristobal Colon
Yabucoa, PR 00767
Phone (787) 719-7799

Practitioners & affiliated clinicians

Practitioners 5

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447283353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAIRWAY DR",
            "address_2": "PALMAS DEL MAR",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007916021",
            "telephone_number": "787-502-1111",
            "fax_number": "787-893-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE SATURNINO RODRIGUEZ",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673532",
            "telephone_number": "787-893-4200",
            "fax_number": "787-893-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN REHABILITATION MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ GARCIA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTORA DE FISIOTERAPIA",
        "authorized_official_telephone_number": "787-893-4200",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ANCILLIAR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, 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.
  • 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.