Clinica Pediatrica de Terepia, Inc.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

611 Issued in PR

Legal business name

CLINICA PEDIATRICA DE TEREPIA, INC.

Practice address

Urb. la Riviera S.E. 54
1283
San Juan, PR 00921-3144

Phone

(787) 783-6290

Fax

(787) 782-0670

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Teresa Medina, DPT, MPT, NDTCNPI 1770023251

Title

President

Phone

(787) 783-6290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carmen Teresa Medina, DPT

  • Pediatric Physical Therapist
  • San Juan, PR
  • NPI 1770023251

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1760779318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA SE 54",
            "address_2": "1283",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-783-6290",
            "fax_number": "787-782-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA RIVIERA S.E. 54",
            "address_2": "1283",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213144",
            "telephone_number": "787-783-6290",
            "fax_number": "787-782-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PEDIATRICA DE TEREPIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-783-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, MPT, NDTC"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PR",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Las Americas Guaynabo, Inc (S@W Telemedicine)
• Clinica Las Americas Guaynabo, Inc (Salus @ Work SSS)
• Clinica Medicina Conductual Inc.
• Clinica Medicina Preventiva C.P.
• Clinica Ninos Y Adolescentes
• Clinica Podiatrica Dr Escalona PSC
• Clinica Podiatrica Oppenheimer
• Clinica Psicoalternativas
• Clinica Quiropractica Dra. Blanco Martinez LLC
• Clinica Quiropractica Jarrot Sierra, LLC

• Pediatric Physical Therapist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.