Active NPI
Mara Riquelme, PT
- Physical Therapist
- Carolina, PR
National Provider Identifier
1467017962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 733
- Practice address
- Comunidad Parque Escorial Bo San Anton
Carr 3 Ave 65 de Infanteria Inter Carr 887
Carolina, PR 00986 - Phone
- (787) 757-6850
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 733 | PR | Primary |
Addresses
Primary practice location
Comunidad Parque Escorial Bo San Anton
Carr 3 Ave 65 de Infanteria Inter Carr 887
Carolina, PR 00986
Mailing address
69-31 Calle 57
Carolina, PR 00985-4933
Phone (787) 463-8712
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 733 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1467017962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69-31 CALLE 57",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009854933",
"telephone_number": "787-463-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMUNIDAD PARQUE ESCORIAL BO SAN ANTON",
"address_2": "CARR 3 AVE 65 DE INFANTERIA INTER CARR 887",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00986",
"telephone_number": "787-757-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIQUELME",
"first_name": "MARA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.