Odalis A Reyes Diaz, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000698 Issued in PR

Practice address

Coop Ciudad Universitaria
G10 Ave Periferal
Trujillo Alto, PR 00976-2104

Phone

(787) 760-8405

Fax

(787) 760-8484

NPI assigned

Sep 14, 2018

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

Other names 1

• Mrs. Odalis A Reyes Diaz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1366925406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VENUS GARDENS",
            "address_2": "1760 CALLE PELIUX",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-361-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COOP CIUDAD UNIVERSITARIA",
            "address_2": "G10 AVE PERIFERAL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762104",
            "telephone_number": "787-760-8405",
            "fax_number": "787-760-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES DIAZ",
        "first_name": "ODALIS",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "000698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODALIS",
            "last_name": "REYES DIAZ",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nancy Ramos, MSW
• Sabrina Marie Ramos, RBT
• Rams
• Renal Health & Research Management, LLC
• Rosa Jesenia Reyes Cruz, LCDA.
• Damarys Reyes, NL
• Ramiro Reyes Sr.
• Yanelis Paola Rijos Mangual, DC
• Alanis Rios
• Zageily Rivera Bernier, MSW

• Physical Therapist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.