Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 261QR0400X | Clinic/Center | Rehabilitation | 5935 | PUERTO RICO | No |
| 2 | 261QX0100X | Clinic/Center | Occupational Medicine | 5935 | PUERTO RICO | No |
| 3 | 261QP2000X | Clinic/Center | Physical Therapy | 5935 | PUERTO RICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 065770 | OTHER | PUERTO RICO | CRUZ AZUL |
| 2 | ========= | OTHER | PUERTO RICO | MAPFRE |
| 3 | D32957 | MEDICARE UPIN | PUERTO RICO | |
| 4 | 223050 | OTHER | PUERTO RICO | PREFERRED HEALTH |
| 5 | 584221714 | OTHER | PUERTO RICO | CIGNA |
| 6 | 584221714 | OTHER | PUERTO RICO | HUMANA HEALTH PLAN OF PR |
| 7 | 2033 | OTHER | PENNSYLVANIA | INTERNATIONAL MEDICAL CAR |
| 8 | 52236 | OTHER | PUERTO RICO | FONDO DEL SEGURO DEL ESTA |
| 9 | 97542 | OTHER | PUERTO RICO | TRIPLE-S, INC. |
| 10 | ========= | OTHER | PUERTO RICO | COSVI |
| 11 | ========= | OTHER | PUERTO RICO | MEDICAL CARD SYSTEM |
| 12 | ========= | OTHER | PUERTO RICO | PALIC |
