Active NPI
Functional Restoration PSC
- Physical Medicine & Rehabilitation Physician
- Bayamon, PR
National Provider Identifier
1902168420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- FUNCTIONAL RESTORATION PSC
- Practice address
- E22 Calle Santa Cruz
Bayamon, PR 00961-6905 - Phone
- (787) 782-2436
- Fax
- (787) 782-2430
- NPI assigned
- Jun 11, 2012
- Last updated
- Jun 14, 2012
- 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
- Dr. Perez Alejandro, M.D.,M.P.H.,DABPMR
- Title
- Medical Director
- Phone
- (787) 782-2436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PR | Primary |
Addresses
Primary practice location
E22 Calle Santa Cruz
Bayamon, PR 00961-6905
Mailing address
50 Calle Brazil Ste 3
Gardenville
Guaynabo, PR 00966-2037
Phone (787) 782-2436
National Provider Directory
National Provider DirectoryLocations
50 Calle Brazil
Ste 3
Guaynabo, PR 00966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1902168420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CALLE BRAZIL STE 3",
"address_2": "GARDENVILLE",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662037",
"telephone_number": "787-782-2436",
"fax_number": "787-782-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E22 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616905",
"telephone_number": "787-782-2436",
"fax_number": "787-782-2430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL RESTORATION PSC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "ALEJANDRO",
"authorized_official_first_name": "PEREZ",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "787-782-2436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,M.P.H.,DABPMR"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.