Active NPI
Irma Ponce de Leon Rosado
- Physical Therapist
- Yauco, PR
National Provider Identifier
1962629154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0731
- Practice address
- 42 Mattei Lluberas
Suite 1
Yauco, PR 00698 - Phone
- (787) 856-5272
- Fax
- (787) 856-8421
- NPI assigned
- Apr 19, 2007
- 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 | 0731 | PR | Primary |
Addresses
Primary practice location
42 Mattei Lluberas
Suite 1
Yauco, PR 00698
Mailing address
42 Mattei Lluberas
Suite 1
Yauco, PR 00698
Phone (787) 856-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084104 | Other | PR | REFORMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120315000018 | PR | Practitioner - Physical Therapist in Private Practice | 2365601176 | Practice locations: Yauco, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
42 Calle Mattei Lluberas
Suite 1
Yauco, PR 00698-3630
Phone (787) 856-5272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257 | PR | MD | Optometrist |
| 731 | PR | MD | Optician |
| 0731 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabibilitacion Ponce de Leon Clinica de Terapia Fisica | Physical Therapist | Past | Accepting new patients |
| Centro Fisiatrico del Caribe PSC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Cabo Rojo, PR
- NPI 1588891303
-
- Physical Therapist
- Yauco, PR
- NPI 1417942640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1962629154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MATTEI LLUBERAS",
"address_2": "SUITE 1",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-856-5272",
"fax_number": "787-856-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MATTEI LLUBERAS",
"address_2": "SUITE 1",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-856-5272",
"fax_number": "787-856-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE DE LEON ROSADO",
"first_name": "IRMA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "0731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REFORMA",
"identifier": "0084104",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
- PMC Marketing Corp
- Policlinica Dr Marin CSP
- Policlinica Dr. Radames Marin Inc
- Policlinica Medica la Sagrada Familia
- Polysomnography & Multiple Testing Services
- Ivonne Ponce de Leon, PH
- Psicocorazon Palpita PSC
- Alexandra Pujols Villegas, MD
- Xavier Hiram Quinones de Jesus, M.D.
- Noelia Naomi Quinones Padilla I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.