NPIMap

Organization Active NPI

PM & R Medical Diagnostics PSC

  • Physical Medicine & Rehabilitation Physician
  • Guaynabo, PR
National Provider Identifier
1912070822
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
10944 Issued in PR
Legal business name
PM & R MEDICAL DIAGNOSTICS PSC
Practice address
45 Calle Tropical
Urb. Munoz Rivera
Guaynabo, PR 00969-3703
Phone
(787) 599-9999
Fax
(787) 789-4874
NPI assigned
Nov 16, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Ramon C Rivera Morales Sr., MDNPI 1265406433
Title
President
Phone
(787) 599-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10944 PR Primary

Addresses

Primary practice location

45 Calle Tropical
Urb. Munoz Rivera
Guaynabo, PR 00969-3703

Mailing address

45 Calle Tropical
Urb. Munoz Rivera
Guaynabo, PR 00969-5559
Phone (787) 599-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108001965 PR Part B Supplier - Clinic/Group Practice 5395068860 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

45 Calle Tropical
Guaynabo, PR 00969
Phone (787) 272-1390

Practitioners & affiliated clinicians

Practitioners 7

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1912070822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CALLE TROPICAL",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695559",
            "telephone_number": "787-599-9999",
            "fax_number": "787-789-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CALLE TROPICAL",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693703",
            "telephone_number": "787-599-9999",
            "fax_number": "787-789-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM & R MEDICAL DIAGNOSTICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA MORALES",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-599-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "10944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.