Active NPI
Carmen Doris Carrasquillo, O.T.L
- Pediatric Occupational Therapist
- Caguas, PR
National Provider Identifier
1043541592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 928
- Practice address
- Avenida Luis Munoz Marin
Angora Park Plaza Local 2a
Caguas, PR 00725 - Phone
- (787) 703-1971
- NPI assigned
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 928 | PR | Primary |
Addresses
Primary practice location
Avenida Luis Munoz Marin
Angora Park Plaza Local 2a
Caguas, PR 00725
Mailing address
Urbanizacion Villas de San Cristobal II
365 Calle Ilan
Las Piedras, PR 00771-9236
Phone (787) 453-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 928 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1043541592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION VILLAS DE SAN CRISTOBAL II",
"address_2": "365 CALLE ILAN",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719236",
"telephone_number": "787-453-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA LUIS MUNOZ MARIN",
"address_2": "ANGORA PARK PLAZA LOCAL 2A",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-703-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASQUILLO",
"first_name": "CARMEN",
"middle_name": "DORIS",
"name_prefix": "Mrs.",
"credential": "O.T.L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PR",
"license": "928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.