Mario Canales, PTT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1923 Issued in PR

Practice address

C7 Calle 23
Urb. Forest Hills
Bayamon, PR 00959-5544

Phone

(787) 484-9505

NPI assigned

Feb 27, 2015

Sex

Male

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)

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.

• Athletic Training and Rehab Center LLC

  • Rehabilitation Clinic/Center
  • Bayamon, PR
  • NPI 1780123117
  NPD Authorized official

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1851783856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C7 CALLE 23",
            "address_2": "URB. FOREST HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595544",
            "telephone_number": "787-484-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C7 CALLE 23",
            "address_2": "URB. FOREST HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595544",
            "telephone_number": "787-484-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "MARIO",
        "credential": "PTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PR",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Campos, M.D.
• Rafael S. Campos, M.D.
• Victor Ivan Campos, M.D.
• Maria Mercedes Camunas, DMD
• Carlos A. Canales Quintero, MD.
• Suane Ann Canales, DMD
• Mireily Cancel-Feliciano, M.D.
• Yazmin Cancel
• Lilliam Candelario Camacho
• Karen Liz Candelario Maldonado, LMSW

• Physical Therapy Assistant in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Physical Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.