Individual provider Active NPI

Deniel Oscar Rivera Martinez I, TERAPISTA FISICO

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1174238406
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004629 Issued in PR
Practice address
400 Ave Ingeniero Nanuel Domenech 402
San Juan, PR 00918-0073
Phone
(787) 689-7803
Fax
(844) 865-3827
NPI assigned
Jan 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 004629 PR Primary

Addresses

Primary practice location

400 Ave Ingeniero Nanuel Domenech 402
San Juan, PR 00918-0073

Mailing address

HC 73 Box 5998
Cayey, PR 00736-9596
Phone (787) 689-7803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606001786 PR Practitioner - Physical Therapist in Private Practice 7517322241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carretera 735 KM
Suite 5
Cayey, PR 00736-1298
Phone (787) 467-7459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Hand and Sports Rehabilitation LLC Physical Therapist CurrentSince Jan 22, 2023 Accepting new patients
Therapro Physical Therapist CurrentSince Jan 8, 2025 Accepting new patients

Locations

400 Ave Manuel Domenech
Ste 402
San Juan, PR 00918
Phone (787) 689-7803

Organizations & group practices 3

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1174238406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 73 BOX 5998",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369596",
            "telephone_number": "787-689-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE INGENIERO NANUEL DOMENECH 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180073",
            "telephone_number": "787-689-7803",
            "fax_number": "844-865-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MARTINEZ",
        "first_name": "DENIEL",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "TERAPISTA FISICO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "004629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.