Wanda I Cruz Rosa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1365 Issued in PR

Practice address

Carretera 125 KM 21.9
Edificio San Sebastian Medical Center
San Sebastian, PR 00685-0000

Phone

(787) 926-1790

Fax

(787) 926-1790

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Advanced Physiotherapy Center Copr

  • Physical Therapy Clinic/Center
  • San Sebastian, PR
  • NPI 1245578905
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1831466721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2839",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006762839",
            "telephone_number": "787-585-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 125 KM 21.9",
            "address_2": "EDIFICIO SAN SEBASTIAN MEDICAL CENTER",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850000",
            "telephone_number": "787-926-1790",
            "fax_number": "787-926-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ROSA",
        "first_name": "WANDA",
        "middle_name": "I",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Rafael Cordova Amador Sr., MD
• Betsy Soto Cortes
• Yesenia Cruz Morales, MA
• Linnette Cruz Pena, MSPT
• Jesus I Cruz Ramos, MSW
• Iraida Cruz
• Fernando De la Rosa Ricciardi, MD
• Iris Y Delgado-Cardona, M.D.
• Mayra Lissette Delvalle, M.D.
• Nancy J Delvalle

• Physical Therapist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.