Boulevard Health Care Program

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

414 Issued in PR

Legal business name

BOULEVARD HEALTH CARE PROGRAM

Practice address

Urb Levittown
P1449 Ave. Boulevard
Toa Baja, PR 00949

Phone

(787) 784-0148

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Luisa Gonzalez RomanNPI 1306809140

Title

Physical Therapist

Phone

(787) 784-0148

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luisa E Gonzalez Roman, LPT

  • Physical Therapist
  • Toa Baja, PR
  • NPI 1306809140
  NPD (past) Authorized official
• Jose V. Ferrero, M.D

  • Physical Medicine & Rehabilitation Physician
  • Fredericksburg, VA
  • NPI 1508829391
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750445292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8492",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608492",
            "telephone_number": "787-784-0148",
            "fax_number": "787-784-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LEVITTOWN",
            "address_2": "P1449 AVE. BOULEVARD",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD HEALTH CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ ROMAN",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "787-784-0148",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Marie Bonilla Tanon, PSYD
• Boricua Ambulance, Inc.
• Boriken Medical Services
• Evelyn Borrero
• Boulevard Dental Center
• Boulevard Visual Clinic
• Ruth Nydia Burgos
• Carlos A Buxo Tirado, MD
• Yamil Angel Caceres, LND,CND
• Denise Rosario Camacho Rodriguez I, M.D

• Physical Therapist in Toa Baja, PR
• Providers in Toa Baja, 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 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.