San Pablo Physical Medicine PSC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SAN PABLO PHYSICAL MEDICINE PSC

Practice address

Torre San Pablo # 68 Santa Cruz St.
Suite 603
Bayamon, PR 00961-7035

Phone

(787) 786-2469

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ivelisse Gonzalez, M.D.NPI 1508827403

Title

President

Phone

(787) 786-2469

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivelisse Gonzalez, MD

  • Physical Medicine & Rehabilitation Physician
  • Bayamon, PR
  • NPI 1508827403
  Medicare reassignment NPD Authorized official
• Jose Cintron Burgos, MSPT

  • Physical Therapist
  • Miami Lakes, FL
  • NPI 1407192933
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1679625131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO SUITE 603",
            "address_2": "68 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617034",
            "telephone_number": "787-402-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO # 68 SANTA CRUZ ST.",
            "address_2": "SUITE 603",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "787-786-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO PHYSICAL MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-786-2469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Pablo Developers, Inc (Advanced Imaging Interventional Center)
• San Pablo Family Practice Inc
• San Pablo Gastroenterology PSC
• San Pablo Medical
• San Pablo Pathology Group Inc.
• San Pablo Surgical Associates
• Sana Accountable Care Organization of Puerto Rico Inc
• Sana Corporacion P.T.
• Sana Te Health Food Store
• Ivonne Sanabria Burgos, PSY D

• Rehabilitation Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Rehabilitation Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.