Organization Active NPI

Centro Fisiatrico San Marcos

  • Physical Therapy Clinic/Center
  • Carolina, PR
National Provider Identifier
1548538879
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
15159 Issued in PR
Legal business name
CENTRO FISIATRICO SAN MARCOS
Practice address
Urb El Comandante Calle San Marcos 399
Carolina, PR 00987-9776
Phone
(787) 587-1157
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Javier F Rios, MDNPI 1831298371
Title
Physician
Phone
(787) 587-1157

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 15159 PR Primary

Addresses

Primary practice location

Urb El Comandante Calle San Marcos 399
Carolina, PR 00987-9776

Mailing address

Urb Hacienda Real # 291
Carolina, PR 00987-9776
Phone (787) 587-1157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200507002463 PR Part B Supplier - Clinic/Group Practice 3375974322 Receives reassigned benefits from 2 practitioners
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

Locations

399 Ave San Marcos
Carolina, PR 00982
Phone (787) 587-1157

Practitioners & affiliated clinicians

Practitioners 2

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": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1548538879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HACIENDA REAL # 291",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009879776",
            "telephone_number": "787-587-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB EL COMANDANTE CALLE SAN MARCOS 399",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009879776",
            "telephone_number": "787-587-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO FISIATRICO SAN MARCOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "787-587-1157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "15159",
            "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 Dec 1, 2011; 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.