Active NPI
Sofia Vazquez Chacon, PT, EMTB, USAR
- Physical Therapist
- Hatillo, PR
National Provider Identifier
1093775454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1216
- Practice address
- Carr 2 KM 87.1
Hatillo, PR 00659 - Phone
- (787) 466-9466
- Fax
- (787) 680-7303
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1216 | PR | Primary |
Addresses
Primary practice location
Carr 2 KM 87.1
Hatillo, PR 00659
Mailing address
P.O. Box 2083
Hatillo, PR 00659-9083
Phone (787) 466-9466
Other practice location 1
39 Calle Ramon Torres
Florida, PR 00650-2040
Phone (787) 466-9466
Other practice location 2
9 Calle Santa Ana
Adjuntas, PR 00601-2246
Phone (787) 466-9466
Other practice location 3
60-64 ave condado plaza del condaado suite 04
San Juan, PR 00901
Phone (787) 466-9466
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660632297 | Other | PR | CIGNA |
| 890415 | Other | PR | MMM |
| 660632297 | Other | PR | MCS CLASSICARE |
| 660632297 | Other | PR | MCS |
| 3304248 | Other | PR | ACAA |
| 39425 | Other | PR | PROSAM |
| 5-6763 | Other | PR | TRIPLE-S |
| 6500002 | Other | PR | HUMANA |
| 660632297 | Other | PR | COSVIMED |
| PE4755 | Other | PR | PALIC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eloi Physical Therapy PSC | Physical Therapist | Current | Accepting new patients |
Locations
9 Calle Santa Ana
Adjuntas, PR 00601
Phone (787) 466-9466
39 Calle Ramon Torres
Florida, PR 00650
Phone (787) 466-9466
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Florida, PR
- NPI 1821212978
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1093775454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2083",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599083",
"telephone_number": "787-466-9466",
"fax_number": "787-822-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 KM 87.1",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-466-9466",
"fax_number": "787-680-7303"
}
],
"practiceLocations": [
{
"address_1": "39 Calle Ramon Torres",
"address_purpose": "LOCATION",
"city": "Florida",
"state": "PR",
"postal_code": "006502040",
"country_code": "US",
"telephone_number": "787-466-9466",
"fax_number": "787-822-0710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9 Calle Santa Ana",
"address_purpose": "LOCATION",
"city": "Adjuntas",
"state": "PR",
"postal_code": "006012246",
"country_code": "US",
"telephone_number": "787-466-9466",
"fax_number": "787-680-7303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60-64 ave condado plaza del condaado suite 04",
"address_purpose": "LOCATION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00901",
"country_code": "US",
"telephone_number": "787-466-9466",
"fax_number": "787-680-7303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ CHACON",
"first_name": "SOFIA",
"credential": "PT, EMTB, USAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "660632297",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "890415",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS CLASSICARE",
"identifier": "660632297",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "660632297",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "3304248",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSAM",
"identifier": "39425",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "5-6763",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6500002",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSVIMED",
"identifier": "660632297",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC",
"identifier": "PE4755",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.