Ivelisse Millet Santiago, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1349 Issued in PR

Practice address

462 Atlantic View Building Suite 2
Marginal Carrizales
Hatillo, PR 00659-2525

Phone

(787) 544-6888

Fax

(787) 544-6888

NPI assigned

May 18, 2007

Last updated

Mar 30, 2015By 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

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Centro de Terapia Fisica Y Atletica Nueva Vida PSC

  • Physical Therapist
  • Hatillo, PR
  • NPI 1194048967
  Medicare reassignment NPD Authorized official
• Los Angeles Medical Clinic Corp

  • General Practice Physician
  • Santurce, PR
  • NPI 1912970351

  Physical Therapist

  NPD (past)
• Los Angeles Medical Health Clinic

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1003011479
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1376751198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141024",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141024",
            "telephone_number": "787-544-6888",
            "fax_number": "787-544-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ATLANTIC VIEW BUILDING SUITE 2",
            "address_2": "MARGINAL CARRIZALES",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592525",
            "telephone_number": "787-544-6888",
            "fax_number": "787-544-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLET SANTIAGO",
        "first_name": "IVELISSE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Nilsa Mendez
• Eneida Mabel Mercado
• Lorena Del Pilar Mercado
• Lyzzette Mercado
• Mariel Mercado
• Miramar Ambulance & Medical Supplies, Inc.
• MJ Occupational and Wellness Services, LLC
• Darleen Marie Molina Toledo, M.S.
• Yashira M Monrouzeau Mercado, MS
• Karina Mont, D.M.D

• Physical Therapist in Hatillo, PR
• Providers in Hatillo, 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 Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.