Organization Active NPI

Fisio-Med

  • Physical Therapy Clinic/Center
  • Carolina, PR
National Provider Identifier
1497705388
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FISIO-MED
Practice address
135-9 Calle 401
4Ta Ext. Villa Carolina
Carolina, PR 00985-4006
Phone
(787) 449-6462
Fax
(787) 294-9862
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Luis Antonio Lizardi, RPT, DPT, ATRIC
Title
President/Terapista Fisico
Phone
(787) 449-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PR Primary

Addresses

Primary practice location

135-9 Calle 401
4Ta Ext. Villa Carolina
Carolina, PR 00985-4006

Mailing address

135-9 Calle 401
Villa Carolina
Carolina, PR 00985-4006
Phone (787) 449-6462

National Provider Directory

National Provider Directory

Locations

135-9 Calle 401
Carolina, PR 00985
Phone (787) 449-6462

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1497705388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135-9 CALLE 401",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854006",
            "telephone_number": "787-449-6462",
            "fax_number": "787-294-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135-9 CALLE 401",
            "address_2": "4TA EXT. VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854006",
            "telephone_number": "787-449-6462",
            "fax_number": "787-294-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISIO-MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "LIZARDI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT/TERAPISTA FISICO",
        "authorized_official_telephone_number": "787-449-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPT, DPT, ATRIC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.