Glenda L Ayala-Rivera
Individual provider Active NPI Physical Therapist · Humacao, PR
NPI 1306964432 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306964432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1224 (PR)
- Practice address
- J13 Calle 19
Humacao, PR 00791-3047 - Phone
- (787) 455-6332
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Urb Fernandez
4 Avenida JFK
Cidra, PR 00739-0739
Phone (787) 714-0510
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070507000136 | PR | Practitioner - Physical Therapist in Private Practice | 4284730342 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1224 | PR | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Terapia Fisica Y Clinica del Dolor, CSP | Physical Therapist | Current |
Accepting new patients |
| Rehabilitacion Puertorriquena del Caribe | Physical Therapist | Past | Accepting new patients |
| Centro de Terapia Fisica Carolina | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1224 | PR | Yes |
Addresses
Primary practice location
J13 Calle 19
Humacao, PR 00791-3047
Mailing address
Condominio Monte Sol Edificio A1 Apartamento 3
Fajardo, PR 00738
Phone (787) 455-6332
Other providers in Humacao, PR
- Avp Medical Equipment, Inc.
- Lydmary Ayala la Torre
- Ana Victoria Ayala Morant
- Carlos Javier Ayala Rodriguez
- Limaris Ayala Vega
- Efrain Ayala
- Rosalba Ayala
- Kenneth Badillo Cecilia
- Frances Baez Alicea
- Camille Rocio Baez Ramos
All providers in Humacao, PR · Physical Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.