Jorel De Los Santos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11101 Issued in FL

Practice address

501 N Ocean St
Apartment 608
Jacksonville, FL 32202-3148

Phone

(904) 354-6276

NPI assigned

Apr 11, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sundance Rehabilitation Agency, Inc.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1093760928
  NPD (past)
• Sundance Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Athens, GA
  • NPI 1508281411
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1811160674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AZALEA AVE N",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315373421",
            "telephone_number": "912-496-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N OCEAN ST",
            "address_2": "APARTMENT 608",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023148",
            "telephone_number": "904-354-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "JOREL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11101",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "GA006263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "PT11101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "PT006263",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayne De la Rosa
• Nicole Marie De la Torre Salas, LMHC
• Ashley Marie De la Vega, DDS
• Valerie Grace Torres De Lara, M.D.
• Yomara De Los Reyes Zulueta
• Anthony N De Luca Jr., PA-C
• Vinicius De Magalhaes Carvalho, DDS
• Raquel De Mello Gomes, DDS
• Edward Garcia De Miranda, MD
• Livia De Oliveira Barros, DDS

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.