Johana Echevarria Cubero, RPT
Individual provider Active NPI Physical Therapist · Camuy, PR
NPI 1174751986 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1174751986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1220 (PR)
- Practice address
- HC 1 Box 3323
Camuy, PR 00627-9630 - Phone
- (787) 209-8190
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091020000727 | PR | Practitioner - Physical Therapist in Private Practice | 1153468350 | Practice locations: Camuy, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1220 | PR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1220 | PR | Yes |
Addresses
Primary practice location
HC 1 Box 3323
Camuy, PR 00627-9630
Mailing address
HC 1 Box 3323
Camuy, PR 00627-9630
Phone (787) 209-8190
Other providers in Camuy, PR
- Iris Viviana Dorta
- Dr Cesar H Medina Inc
- Dr Ramon a Velez Arce CSP
- Dra. Dakmarys Padilla C.S.P.
- DVW Clinical Laboratories Services
- Zorymar Echevarria Medina
- Maite Janira Echevestre Perez
- Edgar C Rodriguez Heredia
- Elite Primary and Aesthetics Medicine LLC
- Eo. Ambulance Services Inc
All providers in Camuy, PR · Physical Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.