Organization Active NPI

Grupo Fisiatrico de Cidra, PSC

  • Physical Medicine & Rehabilitation Physician
  • Cidra, PR
National Provider Identifier
1487739918
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GRUPO FISIATRICO DE CIDRA, PSC
Practice address
570 Ave El Jibaro
Interior 2
Cidra, PR 00739-3693
Phone
(787) 739-9898
Fax
(787) 739-9899
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Javier Rivera-Zayas, M.D.NPI 1841215035
Title
President
Phone
(787) 739-9898

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

570 Ave El Jibaro
Interior 2
Cidra, PR 00739-3693

Mailing address

PO Box 1746
Cidra, PR 00739-1746
Phone (787) 739-9898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070425000022 PR Part B Supplier - Clinic/Group Practice 0749385466 Receives reassigned benefits from 3 practitioners
Practice locations: Cidra, PR

National Provider Directory

National Provider Directory

Locations

570 Ave El Jibaro
#2
Cidra, PR 00739
Phone (787) 739-9898

Practitioners & affiliated clinicians

Practitioners 4

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1487739918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1746",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391746",
            "telephone_number": "787-739-9898",
            "fax_number": "787-739-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 AVE EL JIBARO",
            "address_2": "INTERIOR 2",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393693",
            "telephone_number": "787-739-9898",
            "fax_number": "787-739-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO FISIATRICO DE CIDRA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA-ZAYAS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-739-9898",
        "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 Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.