Active NPI
Elisa Valle, PT
- Physical Therapist
- Aguada, PR
National Provider Identifier
1366517534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 918
- Practice address
- Avenida Nativo Alers Desvio Sur
Detras de Comercial Conzalez Vega
Aguada, PR 00602-1661 - Phone
- (787) 868-3016
- Fax
- (787) 868-3016
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 918 | PR | Primary |
Addresses
Primary practice location
Avenida Nativo Alers Desvio Sur
Detras de Comercial Conzalez Vega
Aguada, PR 00602-1661
Mailing address
PO Box 1661
Aguada, PR 00602-1661
Phone (787) 868-3016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026001313 | PR | Practitioner - Physical Therapist in Private Practice | 3678766367 | Practice locations: Aguada, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 918 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366517534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1661",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021661",
"telephone_number": "787-868-3016",
"fax_number": "787-868-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA NATIVO ALERS DESVIO SUR",
"address_2": "DETRAS DE COMERCIAL CONZALEZ VEGA",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021661",
"telephone_number": "787-868-3016",
"fax_number": "787-868-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "ELISA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "918",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.