Organization Active NPI

Juventud Rehab CSP.

  • Physical Therapy Clinic/Center
  • Vega Alta, PR
National Provider Identifier
1790077444
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
001043 Issued in PR
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

Updated by the provider on May 12, 2011

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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

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.

Verify at the official NPI Registry.