Individual provider Active NPI

Teresita Santiago Vazquez, R.P.T.

  • Physical Therapist
  • Orocovis, PR
National Provider Identifier
1942581079
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
885 Issued in PR
Practice address
Calle Luis M. Alfaro #10
Orocovis, PR 00720-0250
Phone
(787) 615-5443
NPI assigned
Sep 2, 2011
Last updated
Jul 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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 885 PR Primary

Addresses

Primary practice location

Calle Luis M. Alfaro #10
Orocovis, PR 00720-0250

Mailing address

10 Calle Luis M Alfaro
Orocovis, PR 00720-4410
Phone (787) 615-5443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000029 PR Practitioner - Physical Therapist in Private Practice 3678735289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
855PRMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Jicmenet de Terapia Fisica Physical Therapist CurrentSince Jun 21, 2016 Accepting new patients

Locations

10 Calle Luis M Alfaro
Orocovis, PR 00720
Phone (787) 615-5443

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, 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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1942581079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE LUIS M ALFARO",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007204410",
            "telephone_number": "787-615-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS M. ALFARO #10",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007200250",
            "telephone_number": "787-615-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VAZQUEZ",
        "first_name": "TERESITA",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orocovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.