Organization Active NPI

Medical Logistics Services

  • Physical Therapy Clinic/Center
  • San Juan, PR
National Provider Identifier
1871925131
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEDICAL LOGISTICS SERVICES
Practice address
1449 Calle Americo Salas
Suite 101
San Juan, PR 00909-1908
Phone
(787) 370-3104
Fax
(787) 743-8999
NPI assigned
Aug 8, 2013
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Mrs. Wilmarisse Porrata
Title
Owner-President
Phone
(787) 370-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1449 Calle Americo Salas
Suite 101
San Juan, PR 00909-1908

Mailing address

68 Hacienda del Lago
San Juan, PR 00926-9216
Phone (787) 370-3104

National Provider Directory

National Provider Directory

Locations

1449 Calle Americo Salas
Ste 101
Santurce, PR 00909
Phone (787) 370-1330

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1871925131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HACIENDA DEL LAGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269216",
            "telephone_number": "787-370-3104",
            "fax_number": "787-743-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS",
            "address_2": "SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091908",
            "telephone_number": "787-370-3104",
            "fax_number": "787-743-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LOGISTICS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "PORRATA",
        "authorized_official_first_name": "WILMARISSE",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "787-370-3104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.