Individual provider Active NPI

Marigloria Ortiz Gonzalez, PT

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1770013989
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1272 Issued in PR
Practice address
PO Box 191227
San Juan, PR 00919-1227
Phone
(778) 758-2000
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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 1272 PR Primary

Addresses

Primary practice location

PO Box 191227
San Juan, PR 00919-1227

Mailing address

PO Box 370713
Cayey, PR 00737-0713
Phone (787) 595-1826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817002345 PR Practitioner - Physical Therapist in Private Practice 0840562310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Fisiatrico del Plata PSCGroup PAC ID 5496003311, 5 clinicians

Practice addresses (Care Compare)

6 Calle Luis Barreras N
Cayey, PR 00736-3734
Phone (787) 263-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1272PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Fisiatrico del Plata PSC CurrentSince Jun 16, 2018 Accepting new patients

Locations

6 Calle Luis Barreras N
Cayey, PR 00736
Phone (787) 263-2730

Organizations & group practices 1

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1770013989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370713",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370713",
            "telephone_number": "787-595-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "778-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ GONZALEZ",
        "first_name": "MARIGLORIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1272",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 2, 2017; 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.