Elizandra Diaz Agosto, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1229 Issued in PR

Practice address

29 Calle Washigton
Ofic 409
San Juan, PR 00907

Phone

(787) 722-3955

Fax

(787) 721-1360

NPI assigned

Oct 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Rehabilitation ManagementGroup PAC ID 9234208141, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pain Rehabilitation Management

  • Physical Therapy Clinic/Center
  • Yabucoa, PR
  • NPI 1447283353
  Medicare reassignment Care Compare group NPD
• Mariana Silva, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1942410121
  Medicare reassignment
• Andfran, Inc

  • Specialist
  • San Juan, PR
  • NPI 1053743344
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1447727474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHIGTON",
            "address_2": "OFICE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-722-3955",
            "fax_number": "787-721-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHIGTON",
            "address_2": "OFIC 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-722-3955",
            "fax_number": "787-721-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ AGOSTO",
        "first_name": "ELIZANDRA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Imaging Center, PSC
• Diagnostic Radiology Group Practice
• Diameco Corp
• Blanches L Diana Bonhomme
• Diavel LLC
• Nicole Shairy Diaz Alicea, RN
• Heidy Diaz Aragon
• Elsie Angelic Diaz Baez
• Alicia Z Diaz Boulon, LND, RD, MHSN, CDE
• Yaretzie Marie Diaz Catala

• Physical Therapist in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.