Active NPI
David Rodriguez Leon, PT
- Physical Therapist
- Yabucoa, PR
National Provider Identifier
1790456341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1136
- Practice address
- 26 Calle Cristobal Colon
Yabucoa, PR 00767-3326 - Phone
- (787) 945-0412
- NPI assigned
- Sep 23, 2021
- Sex
- Male
- 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 | 1136 | PR | Primary |
Addresses
Primary practice location
26 Calle Cristobal Colon
Yabucoa, PR 00767-3326
Mailing address
198 Calle Eucalipto
Urb Villas de San Cristobal
Las Piedras, PR 00771-9209
Phone (787) 438-9694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Puerto Rico School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26 Calle Cristobal Colon
Yabucoa, PR 00767-3326
Phone (787) 893-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1136 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Rehabilitation Management | Current | Accepting new patients |
Locations
26 Calle Cristobal Colon
Yabucoa, PR 00767
Phone (787) 719-7799
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.
-
- Physical Therapy Clinic/Center
- Yabucoa, PR
- NPI 1447283353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1790456341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 CALLE EUCALIPTO",
"address_2": "URB VILLAS DE SAN CRISTOBAL",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719209",
"telephone_number": "787-438-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CALLE CRISTOBAL COLON",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007673326",
"telephone_number": "787-945-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ LEON",
"first_name": "DAVID",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.