Active NPI
Lizbeth Gomez Carrasquillo I, PHYSICAL THERAPIST
- Physical Therapist
- Trujillo Alto, PR
National Provider Identifier
1104011857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1192
- Practice address
- Cond. Les Jardin
Apt. 116
Trujillo Alto, PR 00976-2200 - Phone
- (787) 391-1303
- NPI assigned
- Sep 6, 2007
- 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 | 1192 | PR | Primary |
Addresses
Primary practice location
Cond. Les Jardin
Apt. 116
Trujillo Alto, PR 00976-2200
Mailing address
Cond. Les Jardin
Apt. 116
Trujillo Alto, PR 00976-2200
Phone (787) 391-1303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1192 | PR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1104011857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. LES JARDIN",
"address_2": "APT. 116",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762200",
"telephone_number": "787-391-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. LES JARDIN",
"address_2": "APT. 116",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762200",
"telephone_number": "787-391-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASQUILLO",
"first_name": "LIZBETH",
"middle_name": "GOMEZ",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.