Active NPI
Anabel Hernandez-Mantilla, PT
- Physical Therapist
- Aguada, PR
National Provider Identifier
1891209029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4542
- Practice address
- Edif Centerplex Suite 103
PR 2 KM 133.5
Aguada, PR 00602 - Phone
- (787) 891-4833
- Fax
- (787) 882-5405
- NPI assigned
- Nov 27, 2017
- 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 | 4542 | PR | Primary |
Addresses
Primary practice location
Edif Centerplex Suite 103
PR 2 KM 133.5
Aguada, PR 00602
Mailing address
76 Ruta 25
Isabela, PR 00662-3944
Phone (787) 891-4833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4542 | Other | PR | PHYSICAL THERAPIST BOARD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4542 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1891209029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 RUTA 25",
"city": "ISABELA",
"state": "PR",
"postal_code": "006623944",
"telephone_number": "787-891-4833",
"fax_number": "787-882-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF CENTERPLEX SUITE 103",
"address_2": "PR 2 KM 133.5",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-891-4833",
"fax_number": "787-882-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-MANTILLA",
"first_name": "ANABEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "4542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST BOARD",
"identifier": "4542",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
- Healthy Spine Chiropractic LLC
- Miriam Hernandez Hernandez, M.D.
- Jeysha Marie Hernandez Orosco
- Iraida Hernandez Perez, MA
- Jesus Emanuel Hernandez Soto, MD, PA
- Marie Bernadine Hidalgo - Rivera, MD
- Edwin Hilerio Ramos, DC
- Hilerios Chiropractic LLC
- Home Psychiatric Service Corp
- Hospicio San Francisco de Asis, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.