Individual provider Active NPI

Cristian David Prado, MOTRL, DPT, CHT

  • Occupational Therapist
  • San Juan, PR
National Provider Identifier
1437114915
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12243 Issued in FL
Practice address
60 Avenida Ponce de Leon
Torre Auxilio Mutuo
San Juan, PR 00917-5029
Phone
(904) 315-0394
Fax
(888) 796-2874
NPI assigned
Apr 19, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4548 PR
Physical Therapist 225100000X PT26351 FL
Occupational Therapist 225X00000X OT12243 FL Primary

Addresses

Primary practice location

60 Avenida Ponce de Leon
Torre Auxilio Mutuo
San Juan, PR 00917-5029

Mailing address

Calle Gaviota FF-8
Dorado, PR 00646-2309
Phone (904) 315-0394

Other identifiers 1

IdentifierTypeStateIssuer
P00401533OtherFLRR MEDICARE

Other names 1

  • Cristian D Prado Capetillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002343 PR Practitioner - Physical Therapist in Private Practice 7618068123 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Ponce de Leon
60 Suite 807
San Juan, PR 00917-0080
Phone (787) 689-7803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26351FLMDPhysical Therapist
OT12243FLMDOccupational Therapist
4548PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyce M Castro MD PSC CurrentSince Feb 1, 2019 Accepting new patients
Puerto Rico Hand and Sports Rehabilitation LLC Physical Therapist PastSince May 16, 2021 Accepting new patients

Locations

528 Calle Cesar Gonzalez
San Juan, PR 00918
Phone (787) 248-0398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1437114915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE GAVIOTA FF-8",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462309",
            "telephone_number": "904-315-0394",
            "fax_number": "888-796-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AVENIDA PONCE DE LEON",
            "address_2": "TORRE AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "904-315-0394",
            "fax_number": "888-796-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "CRISTIAN",
        "middle_name": "DAVID",
        "credential": "MOTRL, DPT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4548",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26351",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00401533",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIAN",
            "last_name": "PRADO CAPETILLO",
            "middle_name": "D",
            "credential": "MOTRL, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.