NPIMap

Organization Active NPI

MJ Prisma Corp

  • Rehabilitation Practitioner
  • Manati, PR
National Provider Identifier
1952599680
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
MJ PRISMA CORP
Practice address
Carr 685 KM 2.9
Manati, PR 00674
Phone
(787) 602-3110
Fax
(787) 602-3110
NPI assigned
Oct 9, 2007
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Miyanil Hernandez Meledez, OTL
Title
Ceo
Phone
(787) 602-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

Carr 685 KM 2.9
Manati, PR 00674

Mailing address

PO Box 1621
Manati, PR 00674-1621
Phone (787) 602-3110

Other names 1

  • MJ Prisma Kids Other name

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, 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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1952599680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1621",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741621",
            "telephone_number": "787-602-3110",
            "fax_number": "787-854-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 685 KM 2.9",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-602-3110",
            "fax_number": "787-602-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ PRISMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ MELEDEZ",
        "authorized_official_first_name": "MIYANIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-602-3110",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJ Prisma Kids",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.