Individual provider Active NPI

Yara Humaran, RPT

  • Physical Therapist
  • Manati, PR
National Provider Identifier
1720081144
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1195 Issued in PR
Practice address
Carr #2 KM 45, Sector Cantera
Barrio Cotto
Manati, PR 00674
Phone
(787) 608-6001
Fax
(787) 884-6408
NPI assigned
May 31, 2005
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1195 PR
Physical Therapist 225100000X 1195 PR Primary

Addresses

Primary practice location

Carr #2 KM 45, Sector Cantera
Barrio Cotto
Manati, PR 00674

Mailing address

E-14 Calle Cambalache, BZN 718
Urb. Villa Forestal
Manati, PR 00674
Phone (787) 608-6001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000304 PR Practitioner - Physical Therapist in Private Practice 4486738325 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 KM
45 Sector Cantera
Manati, PR 00674
Phone (787) 608-6001

Villa Forestal
Suite 718
Manati, PR 00674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1195PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1720081144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E-14 CALLE CAMBALACHE, BZN 718",
            "address_2": "URB. VILLA FORESTAL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-608-6001",
            "fax_number": "787-884-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 45, SECTOR CANTERA",
            "address_2": "BARRIO COTTO",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-608-6001",
            "fax_number": "787-884-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMARAN",
        "first_name": "YARA",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "1195",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 7, 2014; 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.

Verify at the official NPI Registry.