Active NPI
Carmen I Marrero-Hernandez
- Physical Therapist
- Manati, PR
National Provider Identifier
1568569879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- Carr. 149 KM 9.0
Bo. Rio Arriba
Manati, PR 00674 - Phone
- (787) 884-4809
- NPI assigned
- Sep 20, 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 | Primary |
Addresses
Primary practice location
Carr. 149 KM 9.0
Bo. Rio Arriba
Manati, PR 00674
Mailing address
PO Box 1357
Ciales, PR 00638-1357
Phone (787) 884-4809
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1766 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 296155021 | Other | PR | ASOCIACION DE MAESTROS |
| 50538 | Other | PR | PREFERRED MEDICARE CHOISE |
| 824968 | Other | PR | MMM |
| 89212 | Other | PR | TRIPLE SSS |
| X2227 | Other | PR | CRUZ AZUL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110401000752 | PR | Practitioner - Physical Therapist in Private Practice | 9133303951 | Practice locations: Manati, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 149 KM
0 Centro Terapia Fisica Shalom
Manati, PR 00638-1357
Phone (787) 218-0134
PO Box
Suite 1357
Ciales, PR 00638-1357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1568569879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1357",
"city": "CIALES",
"state": "PR",
"postal_code": "006381357",
"telephone_number": "787-884-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 149 KM 9.0",
"address_2": "BO. RIO ARRIBA",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO-HERNANDEZ",
"first_name": "CARMEN",
"middle_name": "I",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "1766",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASOCIACION DE MAESTROS",
"identifier": "296155021",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOISE",
"identifier": "50538",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "824968",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE SSS",
"identifier": "89212",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "X2227",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.