Wesley Berrios Rodriguez, LMT

Individual provider Active NPI Massage Therapist · Moca, PR

NPI 1003780438 · NPPES record last updated Sep 30, 2025

Key facts

NPI
1003780438
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
1158 (PR)
Practice address
Carr 404 KM1.7 Bo Cruz
Moca, PR 00676
Phone
(787) 454-6819
NPI assigned
Sep 30, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1158PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Berrios-Gonzalez LLC Single Specialty Current
since Oct 12, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 1158 PR Yes

Addresses

Primary practice location

Carr 404 KM1.7 Bo Cruz
Moca, PR 00676

Mailing address

PO Box 1283
Moca, PR 00676-1283
Phone (787) 454-6819

Other providers in Moca, PR

All providers in Moca, PR · Massage Therapist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.