Jennifer Marie Holliday, MSPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1194 Issued in PR

Practice address

Centro Pediatrico Mayaguez
410 Avenida Hostos Siute 1
Mayaguez, PR 00680

Phone

(787) 834-5830

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aguadilla Medical Services, Inc.

  • Pharmacy
  • Aguadilla, PR
  • NPI 1043494925
  NPD
• Aguadilla Medical Services, Inc.

  • Clinic/Center
  • Aguadilla, PR
  • NPI 1588637789
  NPD
• Aguadilla Medical Services, Inc.

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1598929556
  NPD
• Aguadilla Medical Services, Inc

  • Radiology Clinic/Center
  • Aguadilla, PR
  • NPI 1902210800
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1467979294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC6BOX61743",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-427-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PEDIATRICO MAYAGUEZ",
            "address_2": "410 AVENIDA HOSTOS SIUTE 1",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Andre Herrans, MD
• Zoraima Esther Herrera, MA
• HGR Paramedic Transport Inc
• Hilda Justiniano MD, P.S.C.
• Hogar Luz de Vida Inc
• Home Orthopedics Corp
• Home Orthopedics PR, LLC
• Home Therapy, Inc.
• Cristina Horta
• Hospicio Amor Y Tranquilidad Inc

• Physical Medicine & Rehabilitation Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.