Individual provider Active NPI

Veronica Carrasquillo, RPT

  • Physical Therapist
  • Rio Grande, PR
National Provider Identifier
1831250950
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1150 Issued in PR
Practice address
436 Calle Tabonuco
Vistas de Rio Grande II
Rio Grande, PR 00745-9766
Phone
(787) 370-4520
Fax
(787) 888-0867
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1150 PR Primary

Addresses

Primary practice location

436 Calle Tabonuco
Vistas de Rio Grande II
Rio Grande, PR 00745-9766

Mailing address

436 Calle Tabonuco
Vistas de Rio Grande II
Rio Grande, PR 00745-9766
Phone (787) 370-4520

Other identifiers 3

IdentifierTypeStateIssuer
9500973OtherPRCRUZ AZUL COMPLEMENTARY
57236OtherPRRPT-SSS COMPLEMENTARY
57236OtherPRSSS MEDICARE OPTIMO

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

State licenses

LicenseStateTypeSpecialty
1150PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831250950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CALLE TABONUCO",
            "address_2": "VISTAS DE RIO GRANDE II",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007459766",
            "telephone_number": "787-370-4520",
            "fax_number": "787-888-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CALLE TABONUCO",
            "address_2": "VISTAS DE RIO GRANDE II",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007459766",
            "telephone_number": "787-370-4520",
            "fax_number": "787-888-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL COMPLEMENTARY",
            "identifier": "9500973",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPT-SSS COMPLEMENTARY",
            "identifier": "57236",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS MEDICARE OPTIMO",
            "identifier": "57236",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.