Centro Jicmenet de Terapia Fisica
Organization Active NPI Physical Therapy Clinic/Center · Orocovis, PR
NPI 1649524927 · NPPES record last updated Nov 7, 2012
Key facts
- NPI
- 1649524927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 885 (PR)
- Legal business name
- CENTRO JICMENET DE TERAPIA FISICA
- Practice address
- 10 Calle Luis M Alfaro
Orocovis, PR 00720-4410 - Phone
- (787) 867-6200
- Fax
- (787) 867-6200
- NPI assigned
- Nov 7, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Teresita Santiago, LIC.
- Title
- Terapista Fisico
- Phone
- (787) 867-6200
Practitioners 1
-
Teresita Santiago Vazquez, R.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170727000832 | PR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2668742446 |
Receives reassigned benefits from 1 practitioner Practice locations: Orocovis, PR |
National Provider Directory
Locations
10 Calle Luis M Alfaro
Orocovis, PR 00720
Phone (787) 615-5443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 885 | PR | Yes |
Addresses
Primary practice location
10 Calle Luis M Alfaro
Orocovis, PR 00720-4410
Mailing address
PO Box 250
Orocovis, PR 00720-0250
Phone (787) 867-6200
Other providers in Orocovis, PR
- Karla Casalduc
- Central Medical Transport LLC
- Centro de Medicina de Familia de Orocovis, PSC
- Centro de Medicina Preventiva Cerv,CSP
- Centro de Salud Familiar Orocovis
- Carla Cepero-Jimenez
- Clinica Divino Nino Jesus Inc
- Clinica Dorsal LLC
- Jose A Colon Alonso
- Olga M Colon Cordero
All providers in Orocovis, PR · Physical Therapy Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.