{"npi":"1679625131","type":"NPI-2","status":"active","name":{"display":"San Pablo Physical Medicine Psc","other":[],"organization_name":"SAN PABLO PHYSICAL MEDICINE PSC","authorised_official":"Ivelisse Gonzalez"},"specialty":{"primary_taxonomy":"261QR0400X","primary_taxonomy_description":"Rehabilitation Clinic/Center","slug":"rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR0400X","description":"Rehabilitation Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"TORRE SAN PABLO # 68 SANTA CRUZ ST.","city":"BAYAMON","state":"PR","postal_code":"009617035","country_code":"US","street_2":"SUITE 603","phone":"7877862469"},{"purpose":"MAILING","street_1":"TORRE SAN PABLO SUITE 603","city":"BAYAMON","state":"PR","postal_code":"009617034","country_code":"US","street_2":"68 CALLE SANTA CRUZ","phone":"7874028195"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080516000388","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PR","pac_id":"3678642683"}]},"enumeration_date":"2007-01-17","last_updated":"2025-04-03","_meta":{"source":"NPPES","snapshot_date":"2025-04-03","doc_url":"https://findmynpi.com/api"}}