Individual provider Active NPI

Sylvia Enid Otero Rodriguez, RPT

  • Physical Therapist
  • Arecibo, PR
National Provider Identifier
1205936754
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
797 Issued in PR
Practice address
Bo Santana Carr #2 KM 67.2
Plaza Taina Suite #2
Arecibo, PR 00612
Phone
(787) 879-9406
Fax
(787) 879-9406
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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 797 PR Primary

Addresses

Primary practice location

Bo Santana Carr #2 KM 67.2
Plaza Taina Suite #2
Arecibo, PR 00612

Mailing address

Box 558
Garrochales, PR 00652
Phone (787) 879-9406

Other identifiers 2

IdentifierTypeStateIssuer
50559OtherPMC
890514OtherMMM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000095 PR Practitioner - Physical Therapist in Private Practice 3072792175 Practice locations: Arecibo, PR; Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 KM
2 Plaza Taina Suite 2
Arecibo, PR 00612-6656
Phone (787) 879-9406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Terapia Fisica Boaz Vega Baja Past Accepting new patients

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1205936754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 558",
            "city": "GARROCHALES",
            "state": "PR",
            "postal_code": "00652",
            "telephone_number": "787-879-9406",
            "fax_number": "787-879-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SANTANA CARR #2 KM 67.2",
            "address_2": "PLAZA TAINA SUITE #2",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-9406",
            "fax_number": "787-879-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO RODRIGUEZ",
        "first_name": "SYLVIA",
        "middle_name": "ENID",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "890514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.