Organization Active NPI

Centro Jicmenet de Terapia Fisica

  • Physical Therapy Clinic/Center
  • Orocovis, PR
National Provider Identifier
1649524927
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
885 Issued in 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
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mrs. Teresita Santiago, LIC.
Title
Terapista Fisico
Phone
(787) 867-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 885 PR Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

10 Calle Luis M Alfaro
Orocovis, PR 00720
Phone (787) 615-5443

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1649524927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007200250",
            "telephone_number": "787-867-6200",
            "fax_number": "787-867-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE LUIS M ALFARO",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007204410",
            "telephone_number": "787-867-6200",
            "fax_number": "787-867-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO JICMENET DE TERAPIA FISICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "TERAPISTA FISICO",
        "authorized_official_telephone_number": "787-867-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIC."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orocovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.