NPIMap

Organization Active NPI

Physiotherapy Rehabilitation Services, Inc

Doing business as Centro de Balance Y Vestibular

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Bayamon, PR
National Provider Identifier
1982976536
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
406504 Issued in PR
Legal business name
PHYSIOTHERAPY REHABILITATION SERVICES, INC
Doing business as
Centro de Balance Y Vestibular
Practice address
Urb Santa Juanita
Uu43 Calle 30
Bayamon, PR 00956-4701
Phone
(787) 787-8669
Fax
(787) 786-7865
NPI assigned
Jan 29, 2012
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Dr. Gustavo J Morey Cruz, DPTNPI 1336754423
Title
President
Phone
(787) 787-8669

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 406504 PR Primary
Physical Medicine & Rehabilitation Physician 208100000X
Physical Therapist 225100000X

Addresses

Primary practice location

Urb Santa Juanita
Uu43 Calle 30
Bayamon, PR 00956-4701

Mailing address

PO Box 444
Bayamon, PR 00960-0444
Phone (787) 787-8669

Other identifiers 1

IdentifierTypeStateIssuer
039153000MedicaidPR

Other names 1

  • CENTRO DE BALANCE Y VESTIBULAR Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000396 PR Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345406187 Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Centro de Balance Y Vestibular2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1327795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1982976536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600444",
            "telephone_number": "787-787-8669",
            "fax_number": "787-786-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA JUANITA",
            "address_2": "UU43 CALLE 30",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564701",
            "telephone_number": "787-787-8669",
            "fax_number": "787-786-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-29",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "MOREY CRUZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-787-8669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "PR",
            "license": "406504",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039153000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DE BALANCE Y VESTIBULAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 19, 2023; 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.