Organization Active NPI

Clinica de Terapia Profesional CSP

  • Physical Therapy Clinic/Center
  • Trujillo Alto, PR
National Provider Identifier
1871926758
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CLINICA DE TERAPIA PROFESIONAL CSP
Practice address
Ave. Periferal G-10
Coop. Cuidad Universitaria
Trujillo Alto, PR 00976-2133
Phone
(787) 760-8405
Fax
(787) 760-8484
NPI assigned
Aug 15, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Lissette M Acosta Rivera
Title
Owner
Phone
(787) 760-8405

Specialties & licenses 1

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

Addresses

Primary practice location

Ave. Periferal G-10
Coop. Cuidad Universitaria
Trujillo Alto, PR 00976-2133

Mailing address

PO Box 1917
Trujillo Alto, PR 00977-1917
Phone (787) 760-8405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1871926758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1917",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771917",
            "telephone_number": "787-760-8405",
            "fax_number": "787-760-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PERIFERAL G-10",
            "address_2": "COOP. CUIDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762133",
            "telephone_number": "787-760-8405",
            "fax_number": "787-760-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE TERAPIA PROFESIONAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-760-8405"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.