Individual provider Active NPI

Jazmin Robles Arvelo, PT

  • Physical Therapist
  • San Sebastian, PR
National Provider Identifier
1477742013
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001245 Issued in PR
Practice address
Carretera 447 K4 H3 Interior Barrio Robles
San Sebastian, PR 00685-5245
Phone
(787) 479-7304
Fax
(787) 896-4795
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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 001245 PR Primary

Addresses

Primary practice location

Carretera 447 K4 H3 Interior Barrio Robles
San Sebastian, PR 00685-5245

Mailing address

PO Box 5245
San Sebastian, PR 00685-5245
Phone (787) 479-7304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000006 PR Practitioner - Physical Therapist in Private Practice 7214010388 Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1245PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1477742013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5245",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855245",
            "telephone_number": "787-479-7304",
            "fax_number": "787-896-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 447 K4 H3 INTERIOR BARRIO ROBLES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855245",
            "telephone_number": "787-479-7304",
            "fax_number": "787-896-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES ARVELO",
        "first_name": "JAZMIN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "001245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.