Marangelis Fuentes Emmanuelli, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4650 Issued in PR

Practice address

E6 Calle Santa Cruz
Bayamon, PR 00961

Phone

(787) 330-2100

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Advantage Rehab and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • San Juan, PR
  • NPI 1225801178

  Physical Therapist

  NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1386364461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 AVE ESMERALDA APT 252",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694287",
            "telephone_number": "787-233-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E6 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-330-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES EMMANUELLI",
        "first_name": "MARANGELIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4620",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "E6 Calle Santa Cruz",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rafael Franco
• FRC Gastro LLC
• Bianca Gisselle Freire
• Maria I. Freire, OD
• Angelica Milady Fuentes Armesto, MD, DABFM
• Ariana N Fuentes Lopez, PHARMD
• Pedro Fuentes Lopez
• Lourdes M. Fuentes Rivera, PT.
• Fransis Fuentes, PHARMACY TECH
• Jasmin Fuentes, MSW

• Physical Therapist in Bayamon, PR
• Providers in Bayamon, 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 Aug 30, 2022; 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.