Active NPI
Arlene Pietri Andujar
- Physical Therapist
- Utuado, PR
National Provider Identifier
1083987366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1385
- Practice address
- Urb Jesus Maria Lago
M 24
Utuado, PR 00641-2409 - Phone
- (787) 247-3560
- NPI assigned
- Feb 16, 2012
- 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 | 1385 | PR | Primary |
Addresses
Primary practice location
Urb Jesus Maria Lago
M 24
Utuado, PR 00641-2409
Mailing address
Urb Jesus Maria Lago
M 24
Utuado, PUERTO RICO 00641
UM
Phone (787) 247-3560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200306002291 | PR | Practitioner - Physical Therapist in Private Practice | 7719315647 | Practice locations: Utuado, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1385 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1083987366",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "URB JESUS MARIA LAGO",
"address_2": "M 24",
"city": "UTUADO",
"state": "PUERTO RICO",
"postal_code": "00641",
"telephone_number": "787-247-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB JESUS MARIA LAGO",
"address_2": "M 24",
"city": "UTUADO",
"state": "PR",
"postal_code": "006412409",
"telephone_number": "787-247-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRI ANDUJAR",
"first_name": "ARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-16",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utuado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.