Active NPI
Carmen J Matias
- Physical Therapist
- Gurabo, PR
National Provider Identifier
1912147331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 911
- Practice address
- 606 Calle Aleli
Urb. Llanos de Gurabo
Gurabo, PR 00778-3720 - Phone
- (787) 390-1734
- NPI assigned
- Feb 25, 2009
- 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 | 911 | PR | Primary |
Addresses
Primary practice location
606 Calle Aleli
Urb. Llanos de Gurabo
Gurabo, PR 00778-3720
Mailing address
Urb. Llanos de Gurabo
606Calle Aleli
Gurabo, PR 00778-3720
Phone (787) 390-1734
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 |
|---|---|---|---|
| 911 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1912147331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. LLANOS DE GURABO",
"address_2": "606CALLE ALELI",
"city": "GURABO",
"state": "PR",
"postal_code": "007783720",
"telephone_number": "787-390-1734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 CALLE ALELI",
"address_2": "URB. LLANOS DE GURABO",
"city": "GURABO",
"state": "PR",
"postal_code": "007783720",
"telephone_number": "787-390-1734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "CARMEN",
"middle_name": "J",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.