Active NPI
Maria Luciano- Mendez, RPT
- Physical Therapist
- San Sebastian, PR
National Provider Identifier
1073630828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001238
- Practice address
- Carr 447 KM 4.5 Int
Bo Robles Sector Paraiso
San Sebastian, PR 00685 - Phone
- (787) 597-3250
- NPI assigned
- Mar 26, 2007
- 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 | 001238 | PR | Primary |
Addresses
Primary practice location
Carr 447 KM 4.5 Int
Bo Robles Sector Paraiso
San Sebastian, PR 00685
Mailing address
HC 1 Box 9928
San Sebastian, PR 00685-9714
Phone (787) 597-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 110 KM 12
Centro Terapia Fisica Y Terapia Fisica En E
Moca, PR 00676-1088
Phone (787) 877-1213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1238 | PR | MD | Occupational Therapy Assistant |
| 001238 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terapia Fisica Movimiento Es Vida | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- NPI 1295046852
Physical Therapist, PR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073630828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 9928",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859714",
"telephone_number": "787-597-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 447 KM 4.5 INT",
"address_2": "BO ROBLES SECTOR PARAISO",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-597-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANO- MENDEZ",
"first_name": "MARIA",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "001238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.