Active NPI
Sylvia Enid Otero Rodriguez, RPT
- Physical Therapist
- Arecibo, PR
National Provider Identifier
1205936754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 797
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50559 | Other | PMC | |
| 890514 | Other | MMM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Physical Therapy Clinic/Center
- Vega Baja, PR
- NPI 1669739595
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.