Active NPI
Elda L Santiago Perez, RPT
- Physical Therapist
- Manati, PR
National Provider Identifier
1679677108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 367
- Practice address
- B14 Calle Marginal
Urb Flamboyan
Manati, PR 00674 - Phone
- (787) 854-1546
- Fax
- (787) 854-1546
- NPI assigned
- Sep 13, 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 | 367 | PR | Primary |
Addresses
Primary practice location
B14 Calle Marginal
Urb Flamboyan
Manati, PR 00674
Mailing address
PO Box 2160
Vega Baja, PR 00694
Phone (787) 858-2507
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6740091 | Other | PA | HUMANA HEALTH PLAN |
| 50153 | Other | PR | IMCS |
| 3301737 | Other | PR | ACAA |
| 9001874 | Other | PR | CRUZ AZUL |
| 6740091 | Other | PR | HUMANA INSURANCE |
| 84143SA | Medicaid | PR | |
| 223217 | Other | PR | PREFERRED HEALTH PLAN |
| 50193 | Other | PR | PREFFERED MEDICARE CHOICE |
| 870026 | Other | PR | MEDICARE Y MUCHO MAS MMM |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elda L. Santiago Perez | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Centro de Rehabilitacion y Terapia Fisica
- Physical Therapy Clinic/Center
- Manati, PR
- NPI 1164607966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679677108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2160",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00694",
"telephone_number": "787-858-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B14 CALLE MARGINAL",
"address_2": "URB FLAMBOYAN",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-854-1546",
"fax_number": "787-854-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO PEREZ",
"first_name": "ELDA",
"middle_name": "L",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "6740091",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMCS",
"identifier": "50153",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "3301737",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "9001874",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "6740091",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84143SA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH PLAN",
"identifier": "223217",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFFERED MEDICARE CHOICE",
"identifier": "50193",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS MMM",
"identifier": "870026",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.