Individual provider Active NPI

Veronica Sofia Casal Borges

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1740920149
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4615 Issued in PR
Practice address
15 Munoz Rivera Ave
Paseo Caribe Building Ste. 104
San Juan, PR 00901-0090
Phone
(888) 900-0073
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 4615 PR Primary

Addresses

Primary practice location

15 Munoz Rivera Ave
Paseo Caribe Building Ste. 104
San Juan, PR 00901-0090

Mailing address

623 Calle Hoover
Paseo Caribe Building Ste. 104
San Juan, PR 00926
Phone (787) 218-2132

Other identifiers 1

IdentifierTypeStateIssuer
6108822OtherPRLIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230303001169 PR Practitioner - Physical Therapist in Private Practice 0345611034 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Advantage Health Center LLCGroup PAC ID 7012301013, 6 clinicians

Practice addresses (Care Compare)

15 Ave Munoz Rivera
San Juan, PR 00901-2480
Phone (888) 900-0073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4615PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Training and Rehab Center LLC CurrentSince Feb 4, 2024 Accepting new patients
Advantage Health Center LLC Physical Therapist CurrentSince Aug 30, 2022 Accepting new patients
Pediatrics & Sports Medicine P.S.C. CurrentSince Feb 4, 2024 Accepting new patients

Locations

BH9 Calle Quintana
Bayamon, PR 00956
Phone (939) 264-1889

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1740920149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 CALLE HOOVER",
            "address_2": "PASEO CARIBE BUILDING STE. 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-218-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MUNOZ RIVERA AVE",
            "address_2": "PASEO CARIBE BUILDING STE. 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009010090",
            "telephone_number": "888-900-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAL BORGES",
        "first_name": "VERONICA",
        "middle_name": "SOFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "6108822",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.