Active NPI
Jennifer Perez Soberal, PTA
- Physical Therapy Assistant
- Camuy, PR
National Provider Identifier
1114841483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4351
- Practice address
- HC 4 Box 17753
Camuy, PR 00627-9522 - Phone
- (787) 975-0695
- NPI assigned
- Aug 7, 2026
- 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 Therapy Assistant | 225200000X | 4351 | PR | Primary |
Addresses
Primary practice location
HC 4 Box 17753
Camuy, PR 00627-9522
Mailing address
HC 4 Box 17753
Camuy, PR 00627-9522
Phone (787) 975-0695
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1114841483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 17753",
"city": "CAMUY",
"state": "PR",
"postal_code": "006279522",
"telephone_number": "787-975-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 4 BOX 17753",
"city": "CAMUY",
"state": "PR",
"postal_code": "006279522",
"telephone_number": "787-975-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ SOBERAL",
"first_name": "JENNIFER",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-07",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "4351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.