Nicole Marie Claudio Medina
Individual provider Active NPI Occupational Therapist · Gurabo, PR
NPI 1063297166 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1063297166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- Estancias de Gran Vista
50 Calle San Jose
Gurabo, PR 00778 - Phone
- (939) 244-4493
- NPI assigned
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231113003088 | PR | Practitioner - Occupational Therapist in Private Practice | 8224485206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSL Therapeutical Services, PSC | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
Estancias de Gran Vista
50 Calle San Jose
Gurabo, PR 00778
Mailing address
Estancias de Gran Vista
50 Calle San Jose
Gurabo, PR 00778
Other providers in Gurabo, PR
- Centro Embrace Life, Corp
- Andrea Cerezo Martinez
- Karla Marie Cintron Zayas
- Emma Esperanza Cintron
- Marcelino Cintron
- Cme at Home, Inc.
- Coberturas Medicas Corp
- Coberturas Medicas Corp.
- Alexys Colon
- Minela Colon
All providers in Gurabo, PR · Occupational Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.