Individual provider Active NPI

Migdalis Soto Mendez

  • Physical Therapist
  • Aguada, PR
National Provider Identifier
1285229914
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4595 Issued in PR
Practice address
Center Plex Building Carr 2
KM 133.5 Suite 103
Aguada, PR 00602
Phone
(787) 891-4833
NPI assigned
Mar 4, 2021
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 4595 PR Primary

Addresses

Primary practice location

Center Plex Building Carr 2
KM 133.5 Suite 103
Aguada, PR 00602

Mailing address

HC 4 Box 18098
Camuy, PR 00627-9534
Phone (787) 452-3260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000734 PR Practitioner - Physical Therapist in Private Practice 1759783970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Terapia Fisica del Norte LLCGroup PAC ID 9133549504, 2 clinicians

Practice addresses (Care Compare)

Carr 2 KM
5 Bo Yeguada
Camuy, PR 00627-0621
Phone (787) 820-4776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4595PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Terapia Fisica del Norte LLC Physical Therapist CurrentSince Jul 9, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1285229914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 18098",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279534",
            "telephone_number": "787-452-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER PLEX BUILDING CARR 2",
            "address_2": "KM 133.5 SUITE 103",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-891-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO MENDEZ",
        "first_name": "MIGDALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-04-30",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.