Centro de Terapia Fisica Y Medicina Deportiva Bella Vista Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

403 Issued in PR

Legal business name

CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA BELLA VISTA INC

Practice address

Route 167 Centro Com. Bella Vista GDNS
Suite 14-a
Bayamon, PR 00957-6053

Phone

(787) 279-1496

Fax

(787) 279-1496

NPI assigned

Oct 13, 2006

Last updated

Feb 28, 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

Ms. Nelky J. Lugo, R.P.T.

Title

Physical Therapist

Phone

(787) 279-1496

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Nelky J. Lugo Irizarry, R.P.T.

  • Physical Therapist
  • Bayamon, PR
  • NPI 1912097387
  Medicare reassignment NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1619067089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6515",
            "address_2": "SANTA ROSA UNIT",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605515",
            "telephone_number": "787-279-1496",
            "fax_number": "787-279-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 167 CENTRO COM. BELLA VISTA GDNS",
            "address_2": "SUITE 14-A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576053",
            "telephone_number": "787-279-1496",
            "fax_number": "787-279-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TERAPIA FISICA Y MEDICINA DEPORTIVA BELLA VISTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "NELKY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "787-279-1496",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "870057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS",
            "identifier": "9600108",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLANS",
            "identifier": "223015",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "5805",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "20470",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.