Yes, for initial, revalidation and reactivation applications, a Puerto Rico and/or U.S. Virgin Islands provider is required to submit a letter of good standing with his or her application if there is no online verification source to verify a medical license. The letter of good standing is not required with a change of information application unless it involves a license update/change. 

Puerto Rico: The letter must be dated within 12 months prior to First Coast’s receipt of the application. The letter of good standing can be obtained from the Puerto Rico Department of Health.

USVI: The letter must be dated within six months prior to First Coast’s receipt of the application. The letter of good standing can be obtained from the Virgin Islands Department of Health. USVI providers may alternatively submit a 120-Day Certification Letter from the state/territory licensing authority.