Organization Active NPI

Clinica de Fisiatria Neuromuscular de Ponce, C.S.P.

  • Medical Specialty Clinic/Center
  • Coto Laurel, PR
National Provider Identifier
1497338008
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CLINICA DE FISIATRIA NEUROMUSCULAR DE PONCE, C.S.P.
Practice address
310 Torre San Cristobal
Coto Laurel, PR 00780-2856
Phone
(787) 840-2747
Fax
(787) 651-3847
NPI assigned
Apr 30, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Elba Yesi Gerena Maldonado, MD
Title
President
Phone
(787) 840-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

310 Torre San Cristobal
Coto Laurel, PR 00780-2856

Mailing address

PO Box 800997
Coto Laurel, PR 00780-0997
Phone (787) 840-2747

National Provider Directory

National Provider Directory

Locations

310 Torre San Cristobal
Ponce, PR 00780
Phone (787) 840-2747

Practitioners & affiliated clinicians

Practitioners 1

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": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1497338008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800997",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800997",
            "telephone_number": "787-840-2747",
            "fax_number": "787-651-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802856",
            "telephone_number": "787-840-2747",
            "fax_number": "787-651-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE FISIATRIA NEUROMUSCULAR DE PONCE, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "GERENA MALDONADO",
        "authorized_official_first_name": "ELBA",
        "authorized_official_middle_name": "YESI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-840-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.