Individual provider Active NPI

Loida R Vendrell, TERAPISTA FISICO

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1437239134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1289 Issued in PR
Practice address
Calle 3C32 Urb Hillside
San Juan, PR 00926
Phone
(787) 790-3611
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1289 PR Primary

Addresses

Primary practice location

Calle 3C32 Urb Hillside
San Juan, PR 00926

Mailing address

Calle 3C32 Urb Hillside
San Juan, PR 00926
Phone (787) 790-3611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000192 PR Practitioner - Physical Therapist in Private Practice 4880621077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 Ave Ponce de Leon
Suite 102
San Juan, PR 00917-3478
Phone (787) 754-0725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1298PRMDGeneral Practice Dentistry
1289PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Rehabilitacion Y Electrodiagnostico de Hato Rey, LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
CM Physiatry PSC CurrentSince Aug 1, 2021 Accepting new patients
Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc PastSince Oct 1, 2020 Accepting new patients
Aos Peds Rehab, LLC Past Accepting new patients

Locations

419 Ave Ponce de Leon
Ste 102
San Juan, PR 00917
Phone (787) 754-0725

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437239134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 3C32 URB HILLSIDE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-790-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 3C32 URB HILLSIDE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-790-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDRELL",
        "first_name": "LOIDA",
        "middle_name": "R",
        "credential": "TERAPISTA FISICO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.