Angel M Aleman Gaetan, MSPT, ATRIC
Individual provider Active NPI Physical Therapist · San Juan, PR
NPI 1376947564 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1376947564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4513 (PR)
- Practice address
- 1111 Calle James Bond
Country Club
San Juan, PR 00924-3401 - Phone
- (787) 314-8212
- NPI assigned
- Oct 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prspi, PSC
Practice addresses (Care Compare)
640 Ave Andalucia
San Juan, PR 00920-5311
Phone (787) 957-5553
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150714001299 | PR | Practitioner - Physical Therapist in Private Practice | 6901119395 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4513 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prspi, PSC | Current |
Accepting new patients |
Locations
640 Ave Andalucia
San Juan, PR 00920
Phone (787) 461-1780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4513 | PR | Yes |
Addresses
Primary practice location
1111 Calle James Bond
Country Club
San Juan, PR 00924-3401
Mailing address
1111 Calle James Bond
Country Club
San Juan, PR 00924-3401
Phone (787) 314-8212
Other providers in San Juan, PR
- Ditza Alejandro
- Jeannette Alejandro
- Jorge Alejandro Sr.
- Karlya M Alejandro
- Paloma Alejandro
- Paola Patricia Aleman Marrero
- Gilberto Aleman
- Martha Milagros Aleman
- Eduardo Alemany Colom
- Alendo PSC
All providers in San Juan, PR · Physical Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.