Active NPI
Rose Coraly Nieves Campis, O.T.
- Pediatric Occupational Therapist
- Cabo Rojo, PR
National Provider Identifier
1013124148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 673
- Practice address
- 3 Cols de Pedernales
Los Martinez
Cabo Rojo, PR 00623-4359 - Phone
- (787) 310-5105
- NPI assigned
- May 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 673 | PR | Primary |
| Occupational Therapist | 225X00000X | 673 | PR |
Addresses
Primary practice location
3 Cols de Pedernales
Los Martinez
Cabo Rojo, PR 00623-4359
Mailing address
Col. de Pedernales # 3
Los Martinez
Cabo Rojo, PR 00623
Phone (787) 310-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Boqueron, PR 00622
PO Box
San German, PR 00683
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 673 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Therapy 4U LLC | Pediatrics | Current | Accepting new patients |
| Exploring Together Therapy | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- San German, PR
- NPI 1063182343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1013124148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COL. DE PEDERNALES # 3",
"address_2": "LOS MARTINEZ",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-310-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COLS DE PEDERNALES",
"address_2": "LOS MARTINEZ",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006234359",
"telephone_number": "787-310-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES CAMPIS",
"first_name": "ROSE",
"middle_name": "CORALY",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PR",
"license": "673",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.