Individual provider Active NPI

Maria Victoria Santos Caliz, PTA, AT

  • Physical Therapy Assistant
  • Ponce, PR
National Provider Identifier
1699339861
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2056 Issued in PR
Practice address
4465 Ave Constancia
Urb Villa del Carmen
Ponce, PR 00716-2233
Phone
(787) 438-4369
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2056 PR Primary

Addresses

Primary practice location

4465 Ave Constancia
Urb Villa del Carmen
Ponce, PR 00716-2233

Mailing address

4465 Ave Constancia
Urb Villa del Carmen
Ponce, PR 00716-2233
Phone (787) 438-4369

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2056PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1699339861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 AVE CONSTANCIA",
            "address_2": "URB VILLA DEL CARMEN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162233",
            "telephone_number": "787-438-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 AVE CONSTANCIA",
            "address_2": "URB VILLA DEL CARMEN",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162233",
            "telephone_number": "787-438-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS CALIZ",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PTA, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "2056",
            "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 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.