Active NPI
Raquel Santiago, R.P.T.
- Physical Therapist
- Canovanas, PR
National Provider Identifier
1811963523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 550
- Practice address
- 63 Calle Hernaiz
Ezquina Batances
Canovanas, PR 00729-0000 - Phone
- (787) 886-1311
- Fax
- (787) 886-1311
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 550 | PR | Primary |
Addresses
Primary practice location
63 Calle Hernaiz
Ezquina Batances
Canovanas, PR 00729-0000
Mailing address
PO Box 10000
PMB 106
Canovanas, PR 00729-0011
Phone (787) 886-1311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000145 | PR | Practitioner - Physical Therapist in Private Practice | 0345400057 | Practice locations: Canovanas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
83 Calle Betances
Canovanas, PR 00729-3241
Phone (787) 886-1311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550 | PR | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Canovanas, PR
- NPI 1326467325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811963523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10000",
"address_2": "PMB 106",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007290011",
"telephone_number": "787-886-1311",
"fax_number": "787-886-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 CALLE HERNAIZ",
"address_2": "EZQUINA BATANCES",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007290000",
"telephone_number": "787-886-1311",
"fax_number": "787-886-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "RAQUEL",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.