Individual provider Active NPI

Jesus Rapisura Valdez Jr., PTRP

  • Physical Therapist
  • Saipan, MP
National Provider Identifier
1215367453
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028270 Issued in NY
Practice address
Ghiyeghi Street
Marianas Health LLC Building San Jose
Saipan, MP 96950-8903
Phone
(670) 233-4646
Fax
(670) 233-4648
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0023MPMDPhysical Therapist
028270NYMDPhysical Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028270 NY Primary
Physical Therapist 225100000X 0023 MP

Addresses

NPPES NPI Registry

Primary practice location

Ghiyeghi Street
Marianas Health LLC Building San Jose
Saipan, MP 96950-8903

Mailing address

Pob 10003 PMB 1341
Saipan, MP 96950-8903
Phone (670) 233-4646

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2013.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1215367453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 10003 PMB 1341",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GHIYEGHI STREET",
            "address_2": "MARIANAS HEALTH LLC BUILDING SAN JOSE",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JESUS",
        "middle_name": "RAPISURA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028270",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MP",
            "license": "0023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.