Active NPI
Centro Fisiatrico Y Medicina Deportiva Erj CSP
- Specialist
- Caguas, PR
National Provider Identifier
1730155235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11945
- Legal business name
- CENTRO FISIATRICO Y MEDICINA DEPORTIVA ERJ CSP
- Practice address
- 201 Ave. Gautier Benitez
Suite 308
Caguas, PR 00725 - Phone
- (787) 258-3275
- Fax
- (787) 258-3212
- NPI assigned
- Feb 24, 2006
- Last updated
- Apr 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Roberto Javier, M.D.
- Title
- Owner
- Phone
- (787) 258-3275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11945 | PR | Primary |
Addresses
Primary practice location
201 Ave. Gautier Benitez
Suite 308
Caguas, PR 00725
Mailing address
201 Ave Gautier Benitez
Suite 031
Caguas, PR 00725
Phone (787) 258-3275
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223220 | Other | PR | PREFERRED HEALTH |
| PE 4628 | Other | PR | PAN AMERICAN LIFE INSURAN |
| 1678A | Other | PR | PREFFERED MEDICAL CHOICE |
| 061142 | Other | PR | CRUZ AZUL |
| 03559 | Other | PR | AMERICAN HEALTH |
| P521 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 7310346 | Other | PR | HUMANA HEALTH |
| 7716 | Other | PR | AMERICAN HEALTH MEDICARE |
| 84873 | Other | PR | SSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 Calle Gautier Benitez
Ste 31
Caguas, PR 00725
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Caguas, PR
- NPI 1558585794
-
- Physical Therapist
- Caguas, PR
- NPI 1447375639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1730155235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 AVE GAUTIER BENITEZ",
"address_2": "SUITE 031",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-258-3275",
"fax_number": "787-258-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 AVE. GAUTIER BENITEZ",
"address_2": "SUITE 308",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-258-3275",
"fax_number": "787-258-3212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO FISIATRICO Y MEDICINA DEPORTIVA ERJ CSP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "JAVIER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-258-3275",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PR",
"license": "11945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "223220",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAN AMERICAN LIFE INSURAN",
"identifier": "PE 4628",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED MEDICAL CHOICE",
"identifier": "1678A",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "061142",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "03559",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "P521",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH",
"identifier": "7310346",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH MEDICARE",
"identifier": "7716",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "84873",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
- Centro de Vida Quiropractica CSP
- Centro Digestivo & Hepatobiliar CSP
- Centro Educativo Y Terapeutico Mi Rincon de Los Suenos Inc
- Centro Especializado En Neurofisiatria
- Centro Familiar Medicina Avanzada
- Centro Holistico Bienestar Mental (Centro Holistico Para El Bienestar de la Salud Mental)
- Centro Holistico Para El Bienestar de la Salud Mental
- Centro Holistico VP Corp (ultimate health and fitness)
- Centro Integral de Servicio Y Apoyo Comunitario, LLC
- Centro Interdisciplinario Para El Desarrollo de la Ninez, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.