Active NPI
Marisol Perez Perez, PT DPT
- Physical Therapist
- Isabela, PR
National Provider Identifier
1508960618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 974
- Practice address
- 42 Ave. Juan Hernandez
Isabela, PR 00662 - Phone
- (787) 830-7714
- Fax
- (787) 830-7714
- NPI assigned
- Sep 11, 2006
- 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 | 974 | PR | Primary |
Addresses
Primary practice location
42 Ave. Juan Hernandez
Isabela, PR 00662
Mailing address
PO Box 127
Aguada, PR 00602
Phone (787) 830-7714
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3302962 | Other | ACAA | |
| 6620098 | Other | HUMANA | |
| 6892928 | Other | CIGNA | |
| 223193 | Other | PREFERRED HEALTH | |
| 500014 | Other | PREFERRED MEDICARE CHOICE | |
| 28725 | Other | PROSSAM | |
| 7480 | Other | INTERNATIONAL | |
| 870045 | Other | MMM |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1508960618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-830-7714",
"fax_number": "787-830-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 AVE. JUAN HERNANDEZ",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-830-7714",
"fax_number": "787-830-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ PEREZ",
"first_name": "MARISOL",
"name_prefix": "Mrs.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "3302962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6620098",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6892928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "223193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "500014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROSSAM",
"identifier": "28725",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL",
"identifier": "7480",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "870045",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.