Active NPI
Veronica Sofia Casal Borges
- Physical Therapist
- San Juan, PR
National Provider Identifier
1740920149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4615
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6108822 | Other | PR | LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4615 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic Training and Rehab Center LLC | Current | Accepting new patients | |
| Advantage Health Center LLC | Physical Therapist | Current | Accepting new patients |
| Pediatrics & Sports Medicine P.S.C. | Current | 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.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1154097962
Physical Therapist, PR
-
- Pediatric Sports Medicine Physician
- Bayamon, PR
- NPI 1245665140
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.