Active NPI
Carmen Milagros Gonzalez Ortiz, MSPT
- Physical Therapist
- Aibonito, PR
National Provider Identifier
1396973616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1342
- Practice address
- Car. 723, Alturas de Asomante Calle B #3 Bo. Asomante
Aibonito, PR 00705 - Phone
- (787) 318-8928
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1342 | PR | Primary |
Addresses
Primary practice location
Car. 723, Alturas de Asomante Calle B #3 Bo. Asomante
Aibonito, PR 00705
Mailing address
PO Box 726
Aibonito, PR 00705-0726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220516001274 | PR | Practitioner - Physical Therapist in Private Practice | 8820475734 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1342 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1396973616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007050726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAR. 723, ALTURAS DE ASOMANTE CALLE B #3 BO. ASOMANTE",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-318-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ ORTIZ",
"first_name": "CARMEN",
"middle_name": "MILAGROS",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2022-03-18",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.