Individual provider Active NPI

Jacqueline Alvarez-Hernandez, PT

  • Physical Therapist
  • Carolina, PR
National Provider Identifier
1699798132
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
881 Issued in PR
Practice address
Of18 Calle 505
Urb. Country Club
Carolina, PR 00982-1809
Phone
(787) 768-2383
Fax
(787) 768-2383
NPI assigned
Jul 25, 2006
Last updated
Jun 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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 881 PR Primary

Addresses

Primary practice location

Of18 Calle 505
Urb. Country Club
Carolina, PR 00982-1809

Mailing address

Of18 Calle 505
Urb. Country Club
Carolina, PR 00982-1809
Phone (787) 768-2383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000094 PR Practitioner - Physical Therapist in Private Practice 6002819414 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vimar Therapy Group Inc CurrentSince Aug 19, 2015 Accepting new patients
Rehabilitacion Puertorriquena del Caribe Physical Therapist Past Accepting new patients
Centro de Terapia Fisica Carolina Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1699798132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OF18 CALLE 505",
            "address_2": "URB. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009821809",
            "telephone_number": "787-768-2383",
            "fax_number": "787-768-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OF18 CALLE 505",
            "address_2": "URB. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009821809",
            "telephone_number": "787-768-2383",
            "fax_number": "787-768-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-HERNANDEZ",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.