NPIMap

Organization Active NPI

Cefisad

  • Physical Therapy Clinic/Center
  • San Juan, PR
National Provider Identifier
1679780753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
929 Issued in PR
Legal business name
CEFISAD
Practice address
100 Grand Boulevard Paseos
Galeria Paseos Mall - Suite 109
San Juan, PR 00926
Phone
(787) 283-1554
Fax
(787) 283-2776
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carlos Jose Rivera, RPTNPI 1245448059
Title
President
Phone
(787) 283-1554

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 929 PR Primary

Addresses

Primary practice location

100 Grand Boulevard Paseos
Galeria Paseos Mall - Suite 109
San Juan, PR 00926

Mailing address

100 Grand Boulevard Paseos
Suite 112-248
San Juan, PR 00926
Phone (787) 283-1554

Other names 1

  • Centro de Fisioterapia y Salud Deportiva Former legal business name

National Provider Directory

National Provider Directory

Locations

100 Grand Paseo Blvd
Ste 109
San Juan, PR 00926
Phone (787) 283-1554

Practitioners & affiliated clinicians

Practitioners 2

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679780753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEOS",
            "address_2": "SUITE 112-248",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-283-1554",
            "fax_number": "787-283-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEOS",
            "address_2": "GALERIA PASEOS MALL - SUITE 109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-283-1554",
            "fax_number": "787-283-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEFISAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-283-1554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Fisioterapia y Salud Deportiva",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.