Individual provider Active NPI

Cynthia Odaly Robles Perez

  • Physical Therapist
  • Luquillo, PR
National Provider Identifier
1801187554
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1312 Issued in PR
Practice address
Vistas de Luquillo 2
Calle Zafiro 621
Luquillo, PR 00773-2684
Phone
(787) 617-2984
Fax
(787) 889-5030
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 1312 PR Primary

Addresses

Primary practice location

Vistas de Luquillo 2
Calle Zafiro 621
Luquillo, PR 00773-2684

Mailing address

PO Box 2027
Luquillo, PR 00773-2027
Phone (787) 617-2984

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Physical Therapy Past Accepting new patients

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1801187554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732027",
            "telephone_number": "787-617-2984",
            "fax_number": "787-889-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISTAS DE LUQUILLO 2",
            "address_2": "CALLE ZAFIRO 621",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732684",
            "telephone_number": "787-617-2984",
            "fax_number": "787-889-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES PEREZ",
        "first_name": "CYNTHIA",
        "middle_name": "ODALY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.