Prspi, PSC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

15364 Issued in PR

Legal business name

PRSPI, PSC

Doing business as

Puerto Rico Sports and Pain Medicine Institute

Practice address

640 Ave Andalucia
Urb. Puerto Nuevo
San Juan, PR 00920-5311

Phone

(787) 461-1780

NPI assigned

Mar 11, 2013

Last updated

Mar 11, 2013By 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

Luis Baerga, M.D.

Title

President

Phone

(787) 461-1780

Specialties & licenses 3

Addresses

Other names 1

• Puerto Rico Sports and Pain Medicine Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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.

• Angel M Aleman Gaetan, MSPT, ATRIC

  • Physical Therapist
  • San Juan, PR
  • NPI 1376947564
  Medicare reassignment Care Compare group NPD
• Luis Baerga-Varela, MD

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1831150614
  Medicare reassignment Care Compare group NPD
• Liza M Hernandez-Gonzalez, MD

  • Interventional Pain Medicine Physician
  • San Juan, PR
  • NPI 1295861284

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1528309804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 CALLE TENIENTE RIVERA",
            "address_2": "URB. SANTA TERESITA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134530",
            "telephone_number": "787-461-1780",
            "fax_number": "787-727-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AVE ANDALUCIA",
            "address_2": "URB. PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205311",
            "telephone_number": "787-461-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRSPI, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BAERGA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-461-1780",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "15364",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PR",
            "license": "15364",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "15364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rico Sports and Pain Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prspine LLC
• Psico Group de PR Inc (PSYCOmax)
• Psico-Colectivo, LLC
• Psicologia Avanzada Diaz
• Psicologos Clinicos del Santurce Medical Mall, CSP

• Physical Medicine & Rehabilitation Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.