Active NPI
Gladys Rivera Vazquez, RPT
- Physical Therapist
- Barceloneta, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0936
- Practice address
- Carr 2 KM 55.2 Barrio Palenque
Barceloneta, PR 00617-0430 - Phone
- (787) 846-4121
- Fax
- (787) 846-5661
- NPI assigned
- Oct 23, 2006
- Last updated
- Nov 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0936 | PR | Primary |
| Interpreter | 171R00000X | 00936 | PR |
Addresses
Primary practice location
Carr 2 KM 55.2 Barrio Palenque
Barceloneta, PR 00617-0430
Mailing address
Urb. Palmas del Sur 173
P.O. Box 1220
Morovis,, PR 00687-1220
Phone (787) 862-0869
Other practice location 1
carr #173
urb palmas bo morovis sur
Morovis, PR 00687-1220
Phone (787) 862-0869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Puerto Rico School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Carr 2 KM
2 Bo Palenque
Barceloneta, PR 00617-0430
Phone (787) 846-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00936 | PR | MD | Interpreter |
| 0936 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC | Physical Therapist | Current | Accepting new patients |
| Luz C Butler Moya | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Quebradillas, PR
- NPI 1386464600
Physical Therapist
-
- Physical Therapist
- Barceloneta, PR
- NPI 1346245032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1659454460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. PALMAS DEL SUR 173",
"address_2": "P.O. BOX 1220",
"city": "MOROVIS,",
"state": "PR",
"postal_code": "006871220",
"telephone_number": "787-862-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 KM 55.2 BARRIO PALENQUE",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006170430",
"telephone_number": "787-846-4121",
"fax_number": "787-846-5661"
}
],
"practiceLocations": [
{
"address_1": "carr #173",
"address_2": "urb palmas bo morovis sur",
"address_purpose": "LOCATION",
"city": "Morovis",
"state": "PR",
"postal_code": "006871220",
"country_code": "US",
"telephone_number": "787-862-0869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA VAZQUEZ",
"first_name": "GLADYS",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "0936",
"primary": true
},
{
"code": "171R00000X",
"taxonomy_group": "",
"desc": "Interpreter",
"state": "PR",
"license": "00936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.