Elimaris Fuentes Tirado, DPT MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1431 Issued in PR

Practice address

Carr 8860 KM 1.5
Plaza Matienzo
Trujillo Alto, PR 00976

Phone

(787) 400-4302

NPI assigned

Jan 18, 2012

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

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Balance and Vestibular Rehab, LLC

  • Physical Therapist
  • Trujillo Alto, PR
  • NPI 1255788386
  Medicare reassignment NPD

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1396016697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SAN RAFAEL ESTS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763072",
            "telephone_number": "787-552-9757",
            "fax_number": "800-543-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 8860 KM 1.5",
            "address_2": "PLAZA MATIENZO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-400-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES TIRADO",
        "first_name": "ELIMARIS",
        "name_prefix": "Dr.",
        "credential": "DPT MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Ambulance PR
• William A Flecha, PHD, MPH
• Fmo Health Collective LLC
• Yianira Franco, RN BSN
• Alfred Arnaldo Freire Sr., MA
• Manuel Fuentes Valentin, RPH
• David Gregorio Fuentes, LPC, LMHC
• Toscania Y. Fulgencio
• Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y de
• Idalia Garcia Cortes, M.D.

• 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 Dec 7, 2023; 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.