Individual provider Active NPI

Marivette Camareno Maldonado, RPT

  • Physical Therapist
  • Guaynabo, PR
National Provider Identifier
1356687420
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1044 Issued in PR
Practice address
Urb Munoz Rivera
45 Calle Tropical
Guaynabo, PR 00969-0000
Phone
(787) 272-1390
Fax
(787) 789-4874
NPI assigned
Dec 18, 2012
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 1044 PR Primary

Addresses

Primary practice location

Urb Munoz Rivera
45 Calle Tropical
Guaynabo, PR 00969-0000

Mailing address

Urb Munoz Rivera
45 Calle Tropical
Guaynabo, PR 00969-0000
Phone (787) 272-1390

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1044PRMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1356687420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MUNOZ RIVERA",
            "address_2": "45 CALLE TROPICAL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690000",
            "telephone_number": "787-272-1390",
            "fax_number": "787-789-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MUNOZ RIVERA",
            "address_2": "45 CALLE TROPICAL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009690000",
            "telephone_number": "787-272-1390",
            "fax_number": "787-789-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARENO MALDONADO",
        "first_name": "MARIVETTE",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.