Organization Active NPI

Centro Fisiatrico Y Rehabilitacion

  • Physical Therapy Clinic/Center
  • Carolina, PR
National Provider Identifier
1710169917
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CENTRO FISIATRICO Y REHABILITACION
Practice address
Carolina Shopp Ctr
Local 26a
Carolina, PR 00985-5672
Phone
(787) 757-3939
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Lissette M. Acosta Rivera
Title
Presidenta
Phone
(787) 453-0050

Specialties & licenses 1

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

Addresses

Primary practice location

Carolina Shopp Ctr
Local 26a
Carolina, PR 00985-5672

Mailing address

PO Box 20897
San Juan, PR 00928-0897
Phone (787) 757-3939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605000069 PR Part B Supplier - Clinic/Group Practice 0042434474 Receives reassigned benefits from 3 practitioners
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1710169917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20897",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280897",
            "telephone_number": "787-757-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA SHOPP CTR",
            "address_2": "LOCAL 26A",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855672",
            "telephone_number": "787-757-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO FISIATRICO Y REHABILITACION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "ACOSTA RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-453-0050"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.