NPIMap

Organization Active NPI

Rehabilitacion Y Medicina Deportiva

  • Physical Therapy Clinic/Center
  • Carolina, PR
National Provider Identifier
1710976998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
001279 Issued in PR
Legal business name
REHABILITACION Y MEDICINA DEPORTIVA
Practice address
4Es12 Via Leticia
Villa Fontana
Carolina, PR 00983-4807
Phone
(787) 276-7006
Fax
(787) 276-7030
NPI assigned
Oct 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Yarni Rivera
Title
Manager
Phone
(787) 276-7006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 001279 PR Primary

Addresses

Primary practice location

4Es12 Via Leticia
Villa Fontana
Carolina, PR 00983-4807

Mailing address

PMB 122 PO Box 2500
Trujillo Alto, PR 00977-2500
Phone (787) 276-7006

National Provider Directory

National Provider Directory
Tax ID family
Michael Hernandez MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710976998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 122 PO BOX 2500",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009772500",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4ES12 VIA LETICIA",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009834807",
            "telephone_number": "787-276-7006",
            "fax_number": "787-276-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITACION Y MEDICINA DEPORTIVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "YARNI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-276-7006"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "001279",
            "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 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.