Individual provider Active NPI

Nayrin Z Medina Soto

  • Physical Therapist
  • Moca, PR
National Provider Identifier
1528308657
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1435 Issued in PR
Practice address
Carretera 404 KM 1.9
Barrio Cruz
Moca, PR 00676-5855
Phone
(787) 616-4314
Fax
(787) 551-7316
NPI assigned
Feb 27, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 1435 PR Primary

Addresses

Primary practice location

Carretera 404 KM 1.9
Barrio Cruz
Moca, PR 00676-5855

Mailing address

HC 01 Box 5855
Moca, PR 00676-5855
Phone (787) 616-4314

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

State licenses

LicenseStateTypeSpecialty
1435PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1528308657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 01 BOX 5855",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765855",
            "telephone_number": "787-616-4314",
            "fax_number": "787-551-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 404 KM 1.9",
            "address_2": "BARRIO CRUZ",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765855",
            "telephone_number": "787-616-4314",
            "fax_number": "787-551-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA SOTO",
        "first_name": "NAYRIN",
        "middle_name": "Z",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.