Individual provider Active NPI

Nicole Marie Morciglio Rivera, ATO

  • Occupational Therapy Assistant
  • San Sebastian, PR
National Provider Identifier
1073964680
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1039 Issued in PR
Practice address
HC 8 Box 83630
Carr 119 KM 28.4 Bo Hoyamala
San Sebastian, PR 00685-8706
Phone
(787) 597-5547
NPI assigned
Jun 24, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1039 PR Primary

Addresses

Primary practice location

HC 8 Box 83630
Carr 119 KM 28.4 Bo Hoyamala
San Sebastian, PR 00685-8706

Mailing address

HC 8 Box 83630
Carr 119 KM 28.4 Bo Hoyamala
San Sebastian, PR 00685-8706
Phone (787) 597-5547

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

LicenseStateTypeSpecialty
1039PRMDSpeech-Language Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1073964680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 83630",
            "address_2": "CARR 119 KM 28.4 BO HOYAMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006858706",
            "telephone_number": "787-597-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 83630",
            "address_2": "CARR 119 KM 28.4 BO HOYAMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006858706",
            "telephone_number": "787-597-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCIGLIO RIVERA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "ATO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.