Organization Active NPI

Centro Fisiatrico

  • Clinic/Center
National Provider Identifier
1720344815
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11055 Issued in PR
Legal business name
CENTRO FISIATRICO
Practice address
1845 Carr #2 Bayamon Medical Plaza
Suite 808
Bayamon, PUERTO RICO 00959
UM
Phone
(787) 785-4410
Fax
(787) 785-4412
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Maria C Colon Roig, M.D.
Title
Owner/ Administrator
Phone
(787) 785-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11055 PR Primary

Addresses

Primary practice location

1845 Carr #2 Bayamon Medical Plaza
Suite 808
Bayamon, PUERTO RICO 00959
UM

Mailing address

PO Box 506
Bayamon, PR 00960-0506
Phone (787) 785-4410

National Provider Directory

National Provider Directory

Locations

1845 Carr 2
Ste 808
Bayamon, PR 00959
Phone (787) 785-4410

Practitioners & affiliated clinicians

Practitioners 3

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": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1720344815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600506",
            "telephone_number": "787-785-4410",
            "fax_number": "787-785-4412"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1845 CARR #2 BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 808",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00959",
            "telephone_number": "787-785-4410",
            "fax_number": "787-785-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO FISIATRICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "COLON ROIG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "787-785-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "11055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.