Active NPI
Lourdes M. Fuentes Rivera, PT.
- Physical Therapist
- Bayamon, PR
National Provider Identifier
1003198755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 000724
- Practice address
- Urb. Jardines de Caparra
Calle 13 F18
Bayamon, PR 00959-0000 - Phone
- (787) 397-6253
- Fax
- (787) 785-5041
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 000724 | PR | Primary |
Addresses
Primary practice location
Urb. Jardines de Caparra
Calle 13 F18
Bayamon, PR 00959-0000
Mailing address
Urb. Jardines de Caparra
Calle 13 F18
Bayamon, PR 00959-0000
Phone (787) 397-6253
Other names 1
- Lourdes M. Fuentes Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724 | PR | MD | Chiropractor |
| 000724 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics & Sports Medicine P.S.C. | Current | Accepting new patients | |
| Athletic Training and Rehab Center LLC | Current | Accepting new patients |
Locations
BH9 Calle Quintana
Bayamon, PR 00956
Phone (939) 264-1889
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Bayamon, PR
- NPI 1780123117
-
- Pediatric Sports Medicine Physician
- Bayamon, PR
- NPI 1245665140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1003198755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. JARDINES DE CAPARRA",
"address_2": "CALLE 13 F18",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009590000",
"telephone_number": "787-397-6253",
"fax_number": "787-785-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. JARDINES DE CAPARRA",
"address_2": "CALLE 13 F18",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009590000",
"telephone_number": "787-397-6253",
"fax_number": "787-785-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES RIVERA",
"first_name": "LOURDES",
"middle_name": "M.",
"credential": "PT.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "000724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOURDES",
"last_name": "FUENTES RIVERA",
"middle_name": "M.",
"credential": "PT.",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 19, 2011; 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.