SAN PABLO PHYSICAL MEDICINE PSC (NPI# 1679625131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679625131 |
| Entity Type | Organization |
| Organization Name | SAN PABLO PHYSICAL MEDICINE PSC |
| Practice Address |
Torre San Pablo # 68 Santa Cruz St. Suite 603 Bayamon PR 00961-7035 |
| Mailing Address |
El Mirador # J10 6th Street San Juan PR 00926 |
| Practice Telephone | 7877862469 |
| Mailing Telephone | 7877486277 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IVELISSE GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 7877862469 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
TORRE SAN PABLO # 68 SANTA CRUZ ST. SUITE 603 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
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| 1942228986 | Physiotherapy Health Services | Clinic/Center | 30 Th Street Uu-43 Santa Juanita, Bayamon 00956, Bayamon, PR 00956 | 2006-07-17 |
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| 1164813853 | Caribbean Pain Institute Psc | Clinic/Center | 400 Carr 176 Apt 205, San Juan, PR 00926-6677 | 2015-02-17 |
| 1457742322 | Centro De Terapia Fisica Renace | Clinic/Center | 3623 Ave. Militar Isabela, Isabela Professional Building, Suite 102, Isabela, PR 00662 | 2015-02-12 |
| 1558627190 | Rema Nl Corp | Clinic/Center | De Hostos Ave 511 Suite 103, San Juan, PR 00918 | 2012-04-09 |
| 1083980197 | S & M Physical Rehabilitation Psc | Clinic/Center | Marina Plaza 22-23 Carr 189, Gurabo, PR 00778 | 2012-03-23 |
| 1154695666 | Centro De Rehabilitacion Y Terapia Fisica El-rapha Inc | Clinic/Center | Carr 474 Km 0.3, Isabela, PR 00662-3965 | 2012-03-01 |
| 1548556079 | Hogas Llevando Luz A Las Tinieblas | Clinic/Center | Reparto Hacienda, Sector El Punto, Bo. Bayamoncito, Aguas Buenas, PR 00703 | 2011-06-23 |
| 1407162662 | Wchm Inc | Clinic/Center | 8269 Ave Jobos, Isabela, PR 00662-2227 | 2010-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.