Individual provider Active NPI

Rosa J Martinez Garcia, PT

  • Physical Therapist
  • Yabucoa, PR
National Provider Identifier
1164645065
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1128 Issued in PR
Practice address
26 Calle Cristobal Colon
Yabucoa, PR 00767-3326
Phone
(787) 719-7799
Fax
(787) 893-3272
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1128 PR Primary

Addresses

Primary practice location

26 Calle Cristobal Colon
Yabucoa, PR 00767-3326

Mailing address

PO Box 374
Juncos, PR 00777-0374
Phone (787) 502-1111

Other practice location 1

2 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3532
Phone (787) 893-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000589 PR Practitioner - Physical Therapist in Private Practice 7911893060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1128PRMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Rehabilitation Management CurrentSince Jan 1, 2004 Accepting new patients

Locations

26 Calle Cristobal Colon
Yabucoa, PR 00767
Phone (787) 719-7799

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1164645065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770374",
            "telephone_number": "787-502-1111",
            "fax_number": "787-893-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE CRISTOBAL COLON",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673326",
            "telephone_number": "787-719-7799",
            "fax_number": "787-893-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Calle Saturnino Rodriguez",
            "address_purpose": "LOCATION",
            "city": "Yabucoa",
            "state": "PR",
            "postal_code": "007673532",
            "country_code": "US",
            "telephone_number": "787-893-4200",
            "fax_number": "787-893-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ GARCIA",
        "first_name": "ROSA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.