Active NPI
Mabel Cedres, P.T.
- Physical Therapist
- San Juan, PR
National Provider Identifier
1487761946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 377
- Practice address
- Urb. El Cerezal 1614 Loira St.
San Juan, PR 00926-3034 - Phone
- (787) 767-6378
- Fax
- (787) 767-6378
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 377 | PR | Primary |
Addresses
Primary practice location
Urb. El Cerezal 1614 Loira St.
San Juan, PR 00926-3034
Mailing address
Urb. El Cerezal 1614 Loira St.
San Juan, PR 00926-3034
Phone (787) 767-6378
Other names 1
- Mabel Cedres
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061206000012 | PR | Practitioner - Physical Therapist in Private Practice | 0143229906 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1487761946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. EL CEREZAL 1614 LOIRA ST.",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263034",
"telephone_number": "787-767-6378",
"fax_number": "787-767-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. EL CEREZAL 1614 LOIRA ST.",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263034",
"telephone_number": "787-767-6378",
"fax_number": "787-767-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDRES",
"first_name": "MABEL",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MABEL",
"last_name": "CEDRES",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 5, 2008; 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.