Individual provider Active NPI

Yomaira Alvarez Panelli, PTA

  • Physical Therapy Assistant
  • Ponce, PR
National Provider Identifier
1245894823
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
554 Issued in PR
Practice address
21 Ave Santiago de Los Caballeros
Ponce, PR 00733-0949
Phone
(787) 848-4545
Fax
(787) 259-8659
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 554 PR Primary

Addresses

Primary practice location

21 Ave Santiago de Los Caballeros
Ponce, PR 00733-0949

Mailing address

PO Box 330949
Ponce, PR 00733-0949
Phone (787) 848-4545

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
554PRMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1245894823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330949",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007330949",
            "telephone_number": "787-848-4545",
            "fax_number": "787-259-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 AVE SANTIAGO DE LOS CABALLEROS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007330949",
            "telephone_number": "787-848-4545",
            "fax_number": "787-259-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANELLI",
        "first_name": "YOMAIRA",
        "middle_name": "ALVAREZ",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.