Active NPI
Gloria Isabel Perez Cruz, B.S., MSPT
- Physical Therapist
- Mayaguez, PR
National Provider Identifier
1740629963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1459
- Practice address
- 29 North Street Peral
Mayaguez, PR 00681 - Phone
- (787) 834-3536
- Fax
- (787) 834-3536
- NPI assigned
- Jun 20, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1459 | PR | Primary |
Addresses
Primary practice location
29 North Street Peral
Mayaguez, PR 00681
Mailing address
512 Urb Las Nereidas
Cabo Rojo, PR 00623-8915
Phone (787) 207-0960
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1459 | PR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1740629963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 URB LAS NEREIDAS",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006238915",
"telephone_number": "787-207-0960",
"fax_number": "787-834-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 NORTH STREET PERAL",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00681",
"telephone_number": "787-834-3536",
"fax_number": "787-834-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ CRUZ",
"first_name": "GLORIA",
"middle_name": "ISABEL",
"name_prefix": "Mrs.",
"credential": "B.S., MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.