Active NPI
Maitee Enid Santiago Benitez, PT
- Physical Therapist
- Las Piedras, PR
National Provider Identifier
1881061109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4524
- Practice address
- Urb Estancias de Los Artesanos
Las Piedras, PR 00771 - Phone
- (939) 630-6508
- NPI assigned
- Aug 24, 2015
- Last updated
- Jan 22, 2019
- 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 | 4524 | PR | Primary |
Addresses
Primary practice location
Urb Estancias de Los Artesanos
Las Piedras, PR 00771
Mailing address
HC 1 Box 6734
Las Piedras, PR 00771-9755
Phone (939) 630-6508
Other practice location 1
117 Calle Font Martelo
Humacao, PR 00791
Phone (787) 850-1380
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 |
|---|---|---|---|
| 4524 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcel Rehabilitation | Past | Accepting new patients |
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 Medicine & Rehabilitation Physician
- Humacao, PR
- NPI 1881783025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1881061109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 6734",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719755",
"telephone_number": "939-630-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB ESTANCIAS DE LOS ARTESANOS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "939-630-6508"
}
],
"practiceLocations": [
{
"address_1": "117 Calle Font Martelo",
"address_purpose": "LOCATION",
"city": "Humacao",
"state": "PR",
"postal_code": "00791",
"country_code": "US",
"telephone_number": "787-850-1380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO BENITEZ",
"first_name": "MAITEE",
"middle_name": "ENID",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "4524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.