Organization Active NPI

Grupo Fisiatrico Hernandez de la Fuente CSP

Doing business as Caribean Institute of Sports Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Guaynabo, PR
National Provider Identifier
1699814657
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GRUPO FISIATRICO HERNANDEZ DE LA FUENTE CSP
Doing business as
Caribean Institute of Sports Medicine and Rehabilitation
Practice address
100 Carr 165 Ste 303
Centro Internacional de Mercadeo
Guaynabo, PR 00968-8049
Phone
(787) 277-0871
Fax
(787) 277-0942
NPI assigned
Feb 6, 2007
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Michael Hernandez, M.D.
Title
President
Phone
(787) 277-0871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

100 Carr 165 Ste 303
Centro Internacional de Mercadeo
Guaynabo, PR 00968-8049

Mailing address

100 Carr 165 Ste 303
Centro Internacional de Mercadeo
Guaynabo, PR 00968-8049
Phone (787) 277-0871

Other names 1

  • Caribean Institute of Sports Medicine and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000750 PR Part B Supplier - Clinic/Group Practice 6800967779 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR; Carolina, PR

National Provider Directory

National Provider Directory

Locations

100 Carr 165
Ste 303
Guaynabo, PR 00968
Phone (787) 277-0847

Practitioners & affiliated clinicians

Practitioners 3

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1699814657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 303",
            "address_2": "CENTRO INTERNACIONAL DE MERCADEO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688049",
            "telephone_number": "787-277-0871",
            "fax_number": "787-277-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 303",
            "address_2": "CENTRO INTERNACIONAL DE MERCADEO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688049",
            "telephone_number": "787-277-0871",
            "fax_number": "787-277-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO FISIATRICO HERNANDEZ DE LA FUENTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-277-0871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribean Institute of Sports Medicine and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.