SAN PABLO PHYSICAL MEDICINE PSC
NPI 1679625131
Clinic/Center - Rehabilitation in Bayamon, PR
About San Pablo Physical Medicine Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN PABLO PHYSICAL MEDICINE PSC (NPI 1679625131) is a healthcare organization registered as a rehabilitation in Bayamon, Puerto Rico and active in the NPI registry since January 2007. The organization lists Ivelisse Gonzalez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Pablo Physical Medicine Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to San Pablo Physical Medicine Psc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Bayamon, PR 00961
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Pablo Physical Medicine Psc's NPI number?
The NPI number for San Pablo Physical Medicine Psc is 1679625131. It was assigned to this organization in the NPPES registry on January 17, 2007.
Where is San Pablo Physical Medicine Psc located?
San Pablo Physical Medicine Psc is located at Torre San Pablo # 68 Santa Cruz St. Suite 603, Bayamon, PR 00961. The listed phone number is (787) 786-2469.
What is San Pablo Physical Medicine Psc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is San Pablo Physical Medicine Psc enrolled in Medicare?
Yes. San Pablo Physical Medicine Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Pablo Physical Medicine Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to San Pablo Physical Medicine Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for San Pablo Physical Medicine Psc was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Pablo Physical Medicine Psc · NPI 1679625131
Rehabilitation organization in Bayamon, Puerto Rico. Organization record, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1679625131 (Entity type: Organization)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Organization subpart:** No
- **Authorized official:** Ivelisse Gonzalez, PRESIDENT
## Practice location
- **Address:** TORRE SAN PABLO # 68 SANTA CRUZ ST., SUITE 603, Bayamon, PR 00961-7035
- **Phone:** (787) 786-2469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1679625131) · Data from the CMS NPPES public registry.