Individual provider Active NPI

Edna Mirelys Ferrer

  • Physical Therapist
  • Corozal, PR
National Provider Identifier
1891031514
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001263 Issued in PR
Practice address
7 Calle Bou
Corozal, PR 00783-2017
Phone
(787) 869-7122
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001263 PR Primary

Addresses

Primary practice location

7 Calle Bou
Corozal, PR 00783-2017

Mailing address

HC 72 Box 3408
Naranjito, PR 00719-8705
Phone (787) 869-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000597 PR Practitioner - Physical Therapist in Private Practice 4587808092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Terapia F de NaranjitoGroup PAC ID 6002005147, 4 clinicians

Practice addresses (Care Compare)

73 Calle Georgetti
Naranjito, PR 00719-3026
Phone (787) 869-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1263PRMDPharmacy Technician
001263PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico Torre Auxilio Mutuo Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Centro de Terapia F de Naranjito Physical Therapist CurrentSince Jan 8, 2013 Accepting new patients

Locations

73 Calle Georgetti
Naranjito, PR 00719
Phone (787) 365-8596

735 Ave Ponce de Leon
Ste 417
San Juan, PR 00917
Phone (787) 296-3081

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1891031514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 3408",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198705",
            "telephone_number": "787-869-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE BOU",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832017",
            "telephone_number": "787-869-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER",
        "first_name": "EDNA",
        "middle_name": "MIRELYS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "001263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.

Verify at the official NPI Registry.