Active NPI
Servicios Integrados de Rehabilitacion del Oeste Inc.
- Physical Therapy Clinic/Center
- Hormigueros, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 6
- Legal business name
- SERVICIOS INTEGRADOS DE REHABILITACION DEL OESTE INC.
- Practice address
- Street 4 House L-10
Colinas del Oeste
Hormigueros, PR 00660 - Phone
- (787) 849-2179
- Fax
- (787) 849-2205
- NPI assigned
- Dec 27, 2005
- Last updated
- Mar 8, 2022
- 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
- Daisy Martinez
- Title
- Corporate Director
- Phone
- (787) 849-2179
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 6 | PR | Primary |
Addresses
Primary practice location
Street 4 House L-10
Colinas del Oeste
Hormigueros, PR 00660
Mailing address
PO Box 1302
Hormigueros, PR 00660-5302
Phone (787) 849-2179
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223153 | Other | PR | PREFERRED HEALTH PLAN |
| 7951 | Other | PR | IMC/AMB |
| 6600020 | Other | PR | HUMANA AMB |
| 7285934 | Other | PR | CIGNA |
| 3228-5 | Other | PR | AMPR |
| 00432 | Other | PR | AMERICAN HEALTH PLAN |
| 33-03837 | Other | PR | ACAA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060117000739 | PR | Part A Provider - Skilled Nursing Facility | 8527082692 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hormigueros, PR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982681565. Details of each certification follow.
Skilled nursing facility certification: CCN 405029
- Legal name
- SERVICIOS INTEGRADOS DE REHABILITACION DEL OESTE, INC.
- Doing business as
- SIRO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 13, 2006
- Last certification
- Apr 29, 2025
- Beds
- 20
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 22, 1996 in PR
- Enrollment address
- Calle 4 L 10
Urb Colinas del Oeste
Hormigueros, PR 00660-1939 - Nursing home name
- SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Skilled Nursing Facility
- Hormigueros, PR
- NPI 1093836264
O20060117000739
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Servicios Integrados de Rehabilitacion (Siro) Inc
- Overall star rating
- Health inspections
- Staffing
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- Jul 13, 2006
- Medicare certification status
- Active
- Certified beds
- 20
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Hormigueros, PR
- NPI 1093836264
Member Of
Locations
L10 Calle 4
Hormigueros, PR 00660
Phone (787) 517-4736
L10 Calle 4
#7
Hormigueros, PR 00660
Phone (787) 849-2179
Ownership & related parties
All disclosed owners & managing parties 29
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rafael Mendoza Irizarry | Operational/Managerial Control | Jan 7, 2017 | |
| Adp of the SNF | Oct 1, 2003 | ||
| Adp of the SNF | Feb 3, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Jose Arroyo | 5% Or Greater Direct Ownership Interest | Oct 23, 1996 | 6.8% |
| Adp of the SNF | Jan 8, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Feb 1, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Rigoberto Martinez | 5% Or Greater Direct Ownership Interest | Mar 10, 2025 | 6.58% |
| Adp of the SNF | May 1, 2022 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Nov 19, 2024 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Eric Mas Rodriguez | Operational/Managerial Control | Jan 7, 2017 | |
| Adp of the SNF | Jan 7, 2017 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Jose Martinez | 5% Or Greater Direct Ownership Interest | Oct 23, 1996 | 20% |
| Daisy Martinez | 5% Or Greater Direct Ownership Interest | Oct 23, 1996 | 61% |
| Corporate Officer | Oct 1, 2001 | 100% | |
| Managing Control - Governing Body | Oct 1, 2001 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Carolina Diaz | Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Feb 1, 2025 | ||
| Paola Cristina Marty | Operational/Managerial Control | Feb 14, 2023 | |
| Adp of the SNF | Feb 14, 2023 | ||
| Adp of the SNF | Jan 9, 2025 | ||
| Adp of the SNF | Feb 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Hormigueros, PR
- NPI 1629185830
Adp of the SNF, Operational/Managerial Control
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.
-
- Speech-Language Pathologist
- Hormigueros, PR
- NPI 1255522561
-
- Physical Therapist
- Mayaguez, PR
- NPI 1255374484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1982681565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1302",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006605302",
"telephone_number": "787-849-2179",
"fax_number": "787-849-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET 4 HOUSE L-10",
"address_2": "COLINAS DEL OESTE",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-849-2179",
"fax_number": "787-849-2205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICIOS INTEGRADOS DE REHABILITACION DEL OESTE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-27",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "DAISY",
"authorized_official_title_or_position": "CORPORATE DIRECTOR",
"authorized_official_telephone_number": "787-849-2179"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PR",
"license": "6",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH PLAN",
"identifier": "223153",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC/AMB",
"identifier": "7951",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA AMB",
"identifier": "6600020",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7285934",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMPR",
"identifier": "3228-5",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH PLAN",
"identifier": "00432",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "33-03837",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hormigueros, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.