Physical & Sports Rehabilitation Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

18872 Issued in PR

Legal business name

PHYSICAL & SPORTS REHABILITATION CLINIC

Practice address

Carr 111 KM 8.0
Moca, PR 00676-9998

Phone

(787) 877-5694

Fax

(787) 877-5694

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By 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

Dr. Ruben Yared Torres, M.D.NPI 1053629428

Title

President

Phone

(787) 463-3832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Ruben Yared Torres, MD

  • Physical Medicine & Rehabilitation Physician
  • Mayaguez, PR
  • NPI 1053629428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1558818336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102382",
            "telephone_number": "787-877-5694",
            "fax_number": "787-877-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 8.0",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769998",
            "telephone_number": "787-877-5694",
            "fax_number": "787-877-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL & SPORTS REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "YARED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-463-3832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "18872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovangel Perez, PSYD
• Glendalis Perez
• Jazmin R Perez
• Juan C Perez
• Nilmarie Perez
• Rose Frances Piazza, DDS
• Melba Daina Pico Barreto
• Kevin A Pinero Rios, MSW
• Brendaliz Pitre, MS-SSP
• Johnny Pitre, RN

• Physical Therapy Clinic/Center in Moca, PR
• Providers in Moca, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.