Active NPI
Yelitza R. Guzman Moreno, DPT
- Physical Therapist
- Mayaguez, PR
National Provider Identifier
1851577050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1393
- Practice address
- Calle Peral # 29 N
Suite 7
Mayaguez, PR 00680-4894 - Phone
- (787) 356-0262
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 1393 | PR | Primary |
Addresses
Primary practice location
Calle Peral # 29 N
Suite 7
Mayaguez, PR 00680-4894
Mailing address
Urb Terrazas de Boqueron
Box 41
Boqueron, PR 00622
Phone (787) 356-0262
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1393 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1851577050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB TERRAZAS DE BOQUERON",
"address_2": "BOX 41",
"city": "BOQUERON",
"state": "PR",
"postal_code": "00622",
"telephone_number": "787-356-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PERAL # 29 N",
"address_2": "SUITE 7",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804894",
"telephone_number": "787-356-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN MORENO",
"first_name": "YELITZA",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.