Active NPI
Evelyn Gonzalez
- Physical Therapist
- Barceloneta, PR
National Provider Identifier
1881817005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- Cruce Davila Carr2 KM 57.2
Suite #29
Barceloneta, PR 00617 - Phone
- (787) 846-5084
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
Cruce Davila Carr2 KM 57.2
Suite #29
Barceloneta, PR 00617
Mailing address
Cruce Davila Carr2 KM 57.2
Suite #29
Barceloneta, PR 00617
Phone (787) 846-5084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Puerto Rico School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Bo Cruce Davila
Barceloneta, PR 00617-3130
Phone (787) 846-6307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Terapia Fisica de Barceloneta, Inc | Physical Therapist | Current | Accepting new patients |
Locations
113 Bo Cruce Davila
#2
Barceloneta, PR 00617
Phone (787) 846-3707
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 and National Provider Directory roles.
-
- Specialist
- Barceloneta, PR
- NPI 1659457711
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1881817005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CRUCE DAVILA CARR2 KM 57.2",
"address_2": "SUITE #29",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "00617",
"telephone_number": "787-846-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CRUCE DAVILA CARR2 KM 57.2",
"address_2": "SUITE #29",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "00617",
"telephone_number": "787-846-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.