Active NPI
Ivon L Reyes, RAPT
- Physical Therapy Clinic/Center
- Ponce, PR
National Provider Identifier
1639494438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 000602
- Practice address
- 3301 Calle Caoba
Urb. Los Caobos
Ponce, PR 00716 - Phone
- (787) 509-7333
- Fax
- (787) 840-0490
- NPI assigned
- Apr 5, 2010
- 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 Therapy Clinic/Center | 261QP2000X | 000602 | PR | Primary |
Addresses
Primary practice location
3301 Calle Caoba
Urb. Los Caobos
Ponce, PR 00716
Mailing address
Palma Real St #14
Camino Real
Juana Diaz, PUERTO RICO 00795
UM
Phone (787) 509-7333
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000602 | PR | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1639494438",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "PALMA REAL ST #14",
"address_2": "CAMINO REAL",
"city": "JUANA DIAZ",
"state": "PUERTO RICO",
"postal_code": "00795",
"telephone_number": "787-509-7333",
"fax_number": "787-840-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 CALLE CAOBA",
"address_2": "URB. LOS CAOBOS",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-509-7333",
"fax_number": "787-840-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "IVON",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RAPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PR",
"license": "000602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.