Organization Active NPI

Puerto Rico Hand and Sports Rehabilitation LLC

  • Occupational Therapist
  • San Juan, PR
National Provider Identifier
1619541604
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PUERTO RICO HAND AND SPORTS REHABILITATION LLC
Practice address
400 Ave Manuel Domenech Ste 402
San Juan, PR 00918-3754
Phone
(787) 689-7803
Fax
(844) 865-3827
NPI assigned
May 14, 2021
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Cristian Prado-Capetillo, MD
Title
Owner
Phone
(904) 315-0394

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Hand Physical Therapist 2251H1200X
Sports Physical Therapist 2251S0007X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

400 Ave Manuel Domenech Ste 402
San Juan, PR 00918-3754

Mailing address

400 Ave Manuel Domenech Ste 402
San Juan, PR 00918-3754
Phone (787) 689-7803

Other identifiers 2

IdentifierTypeStateIssuer
1271344-0011OtherPRCERT REGISTRO DE COMERCIANTE
463736OtherPRCERTIFICADO DE ORGANIZACION

National Provider Directory

National Provider Directory

Locations

400 Ave Manuel Domenech
Ste 402
San Juan, PR 00918
Phone (787) 689-7803

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1619541604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE MANUEL DOMENECH STE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183754",
            "telephone_number": "787-689-7803",
            "fax_number": "844-865-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE MANUEL DOMENECH STE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183754",
            "telephone_number": "787-689-7803",
            "fax_number": "844-865-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO HAND AND SPORTS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "PRADO-CAPETILLO",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-315-0394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT REGISTRO DE COMERCIANTE",
            "identifier": "1271344-0011",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICADO DE ORGANIZACION",
            "identifier": "463736",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.