Individual provider Active NPI

Gerty Jones, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Manati, PR
National Provider Identifier
1033223623
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
7265 Issued in PR
Practice address
1003 Carr 2 KM.45
Sector Cantera
Manati, PR 00674-4843
Phone
(787) 608-6001
Fax
(787) 924-0751
NPI assigned
Aug 19, 2006
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 7265 PR Primary

Addresses

Primary practice location

1003 Carr 2 KM.45
Sector Cantera
Manati, PR 00674-4843

Mailing address

B9 Calle Jade
Parque San Patricio
Guaynabo, PR 00968-3406
Phone (787) 608-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000252 PR Practitioner - Physical Medicine and Rehabilitation 0345498960 Practice locations: Luquillo, PR; Manati, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7265PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1033223623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B9 CALLE JADE",
            "address_2": "PARQUE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683406",
            "telephone_number": "787-608-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 CARR 2 KM.45",
            "address_2": "SECTOR CANTERA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744843",
            "telephone_number": "787-608-6001",
            "fax_number": "787-924-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GERTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "7265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.