Rehabilitacion Dorada, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1375 Issued in PR

Legal business name

REHABILITACION DORADA, INC

Practice address

Urb Gran Vista 1 Camino del Plata
Toa Alta, PR 00953

Phone

(939) 630-2569

Fax

(787) 870-6706

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Xandra N Zayas-Crespo, RPT

Title

RPT- President

Phone

(939) 630-2569

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1710245923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB GRAN VISTA 1 CAMINO DEL PLATA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "939-630-2569",
            "fax_number": "787-870-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB GRAN VISTA 1 CAMINO DEL PLATA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "939-630-2569",
            "fax_number": "787-870-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 CALLE TIBURON",
            "address_2": "PASEO LAS OLAS",
            "address_purpose": "LOCATION",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460064",
            "country_code": "US",
            "telephone_number": "939-630-2569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CALLE B URB. SOBRINO",
            "address_2": "#41",
            "address_purpose": "LOCATION",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "country_code": "US",
            "telephone_number": "939-630-2569",
            "fax_number": "787-693-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHABILITACION DORADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "ZAYAS-CRESPO",
        "authorized_official_first_name": "XANDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "RPT- PRESIDENT",
        "authorized_official_telephone_number": "939-630-2569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038231100",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508061037",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "1375",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "REHABILITACIONDORADA@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "URB GRAN VISTA 1 CAMINO DEL PLATA",
            "city": "TOA ALTA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.