Active NPI
Elaine Aixa Rodriguez, MPT
- Physical Therapist
- Ponce, PR
National Provider Identifier
1417309113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 874
- Practice address
- 2410 Calle Shequel
La Providencia
Ponce, PR 00728-3139 - Phone
- (787) 432-9868
- NPI assigned
- Jul 6, 2016
- 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 | 874 | PR | Primary |
Addresses
Primary practice location
2410 Calle Shequel
La Providencia
Ponce, PR 00728-3139
Mailing address
2410 Calle Shequel
La Providencia
Ponce, PR 00728-3139
Phone (787) 432-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1417309113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 CALLE SHEQUEL",
"address_2": "LA PROVIDENCIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007283139",
"telephone_number": "787-432-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 CALLE SHEQUEL",
"address_2": "LA PROVIDENCIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007283139",
"telephone_number": "787-432-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ELAINE",
"middle_name": "AIXA",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.