Individual provider Active NPI

Gloria Ej Salinas-Seine, MPT

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1972554210
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
466 Issued in PR
Practice address
124 Ave Winston Churchill
San Juan, PR 00926-6064
Phone
(787) 767-7370
Fax
(787) 767-7370
NPI assigned
May 12, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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 466 PR Primary

Addresses

Primary practice location

124 Ave Winston Churchill
San Juan, PR 00926-6064

Mailing address

PO Box 167
Trujillo Alto, PR 00977-0167
Phone (787) 760-1223

Other identifiers 6

IdentifierTypeStateIssuer
820568OtherPRMMM
50099OtherPRPREFERRED MEDICARE CHOICE
61799OtherPRTRIPLE C
9260301OtherPRHUMANA HEALTH PLAN
3304329OtherPRACAA
9260301OtherPRHUMANA HEALTH PLAN REFORM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000926 PR Practitioner - Physical Therapist in Private Practice 1759577059 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

867 Ave Munoz Rivera
San Juan, PR 00925-2102
Phone (787) 767-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
466PRMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics & Sports Medicine P.S.C. CurrentSince Aug 23, 2020 Accepting new patients
Athletic Training and Rehab Center LLC CurrentSince Oct 30, 2018 Accepting new patients
Centro Manejo de Linfedema Y Fisioterapia , CSP Physical Therapist PastSince Sep 1, 2019 Accepting new patients

Locations

BH9 Calle Quintana
Bayamon, PR 00956
Phone (939) 264-1889

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1972554210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770167",
            "telephone_number": "787-760-1223",
            "fax_number": "787-767-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 AVE WINSTON CHURCHILL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266064",
            "telephone_number": "787-767-7370",
            "fax_number": "787-767-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS-SEINE",
        "first_name": "GLORIA",
        "middle_name": "EJ",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "820568",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "50099",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C",
            "identifier": "61799",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "9260301",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "3304329",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN REFORM",
            "identifier": "9260301",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.

Verify at the official NPI Registry.