Individual provider Active NPI

Marisol Velez Vega, RPT

  • Physical Therapist
  • Isabela, PR
National Provider Identifier
1609991728
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001180 Issued in PR
Practice address
151 Ruta 474
Isabela, PR 00662
Phone
(787) 830-1227
Fax
(787) 830-1227
NPI assigned
Mar 20, 2007
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 001180 PR Primary

Addresses

Primary practice location

151 Ruta 474
Isabela, PR 00662

Mailing address

151 Ruta 474
Galateo Bajo
Isabela, PR 00662-0010
Phone (787) 872-1717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000188 PR Practitioner - Physical Therapist in Private Practice 3577615996 Reassigns benefits to 1 organization
Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Ruta
Suite 474
Isabela, PR 00662-4022

Carr 474 KM 2
Isabela, PR 00662-4022
Phone (787) 872-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1180PRMDPediatric Dentist
001180PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Clinica de Terapia Fisica Y Rehabilitacion LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

151 Ruta 474
Isabela, PR 00662
Phone (787) 830-1227

151 Ruta 474
#1
Isabela, PR 00662

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1609991728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 RUTA 474",
            "address_2": "GALATEO BAJO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620010",
            "telephone_number": "787-872-1717",
            "fax_number": "787-830-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 RUTA 474",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-1227",
            "fax_number": "787-830-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ VEGA",
        "first_name": "MARISOL",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "001180",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 13, 2020; 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.

Verify at the official NPI Registry.