Ivette Pratts, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4035 Issued in PR

Practice address

3103 Ave. Isla Verde
Apt. 504
Carolina, PR 00979-4943

Phone

(787) 403-9899

NPI assigned

Jun 7, 2006

Last updated

Apr 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Selenia Ivette Pratts-Ponce de Leon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Recinto de Ciencias Medicas

  dba Recinto de Ciencias M edicas-Medicina Fisica y Rehabilitacion

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1932299583
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1922048263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 AVE. ISLA VERDE",
            "address_2": "APT. 504",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794943",
            "telephone_number": "787-403-9699",
            "fax_number": "787-762-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 AVE. ISLA VERDE",
            "address_2": "APT. 504",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794943",
            "telephone_number": "787-403-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATTS",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "4035",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENIA",
            "last_name": "PRATTS-PONCE DE LEON",
            "middle_name": "IVETTE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• PR Neuro Cardiovascular Services LLC
• PR Neuro-Cardiovascular Services
• PR Professional Medical Services
• PR Vision Inc
• PR Wheelchair Service Inc
• Premium Health Group Clinic
• Premium Health Group Clinic LLC
• Premium Health Group Clinic LLC
• Premium Natural Care .Inc
• Premium Pharmacy (Farmacia Luis #3)

• Physical Medicine & Rehabilitation Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.