Yanitza Gonzalez Acevedo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1063-2 Issued in PR

Practice address

Plaza Monferrape 2
Officina 9
Hormigeros, PR 00660

Phone

(787) 464-2125

NPI assigned

Jan 21, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Activo Y En Movimiento

  • Clinic/Center
  • Aguada, PR
  • NPI 1811353501
  NPD (past)

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1336506377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 58 BOX 13050",
            "address_2": "HACIENDA FLORIDA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029716",
            "telephone_number": "787-464-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA MONFERRAPE 2",
            "address_2": "OFFICINA 9",
            "city": "HORMIGEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-464-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ACEVEDO",
        "first_name": "YANITZA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1063-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.