Active NPI
Juventud Rehab CSP.
- Physical Therapy Clinic/Center
- Vega Alta, PR
National Provider Identifier
1790077444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 001043
- Legal business name
- JUVENTUD REHAB CSP.
- Practice address
- Carretera 693 KM 14.2
Bo. Brenas
Vega Alta, PR 00692 - Phone
- (787) 270-2686
- Fax
- (787) 270-5292
- NPI assigned
- May 12, 2011
- 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
- Miss Brenda L. De Jesus, P.T.
- Title
- Presidente
- Phone
- (787) 270-2686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 001043 | PR | Primary |
Addresses
Primary practice location
Carretera 693 KM 14.2
Bo. Brenas
Vega Alta, PR 00692
Mailing address
PO Box 468
Vega Baja, PR 00694-0468
Phone (787) 270-2686
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Vega Alta, PR
- NPI 1578832382
-
- Social Worker
- Vega Alta, PR
- NPI 1538469887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1790077444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006940468",
"telephone_number": "787-270-2686",
"fax_number": "787-270-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 693 KM 14.2",
"address_2": "BO. BRENAS",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-270-2686",
"fax_number": "787-270-5292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUVENTUD REHAB CSP.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-270-2686",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PR",
"license": "001043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Alta, PR
- J & F Optical Service Inc (Ecb Vega Alta)
- Carlos Javier Jimenez, PA
- Frances Ann Jimenez, M.D.
- Yaritza Michelle Jimenez
- Judimel Medical Corp
- Laboratorio Clinico Alondra
- Laboratorio Clinico Caribe Medical Plaza,Inc.
- Laboratorio Clinico Cubuy Inc
- Laboratorio Clinico Luis M Rivera
- Laboratorio Clinico Plaza del Mar Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.