Active NPI
Cristian David Prado, MOTRL, DPT, CHT
- Occupational Therapist
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12243
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00401533 | Other | FL | RR MEDICARE |
Other names 1
- Cristian D Prado Capetillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT26351 | FL | MD | Physical Therapist |
| OT12243 | FL | MD | Occupational Therapist |
| 4548 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyce M Castro MD PSC | Current | Accepting new patients | |
| Puerto Rico Hand and Sports Rehabilitation LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- San Juan, PR
- NPI 1174238406
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.
-
- Physical Medicine & Rehabilitation Physician
- Guaynabo, PR
- NPI 1902032436
-
- Physical Medicine & Rehabilitation Physician
- San Juan, PR
- NPI 1942410121
-
- Occupational Therapist
- San Juan, PR
- NPI 1619541604
Physical Therapist
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.