NPIMap

Organization Active NPI

Centro de Rehabilitacion Y Medicina del Deporte

  • Physical Medicine & Rehabilitation Physician
  • Bayamon, PR
National Provider Identifier
1649499294
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE
Practice address
Carimed Plaza
B1 Calle Santa Cruz Ste. 406
Bayamon, PR 00961-6933
Phone
(787) 740-2270
Fax
(787) 785-7277
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Jose E Arias Benabe, M.D.NPI 1376531731
Title
Gen PTR
Phone
(787) 779-6896

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

Carimed Plaza
B1 Calle Santa Cruz Ste. 406
Bayamon, PR 00961-6933

Mailing address

Carimed Plaza
B1 Calle Santa Cruz Ste. 406
Bayamon, PR 00961-6933
Phone (787) 779-6896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000522 PR Part B Supplier - Clinic/Group Practice 4183707227 Receives reassigned benefits from 9 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

B1 Calle Santa Cruz
Ste 406
Bayamon, PR 00961
Phone (787) 779-6896

Practitioners & affiliated clinicians

Practitioners 11

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1649499294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA",
            "address_2": "B1 CALLE SANTA CRUZ STE. 406",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616933",
            "telephone_number": "787-779-6896",
            "fax_number": "787-785-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA",
            "address_2": "B1 CALLE SANTA CRUZ STE. 406",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616933",
            "telephone_number": "787-740-2270",
            "fax_number": "787-785-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE REHABILITACION Y MEDICINA DEL DEPORTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "ARIAS BENABE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "787-779-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.