Active NPI
Heidi Esther Faisca, OTL
- Specialist
- San Juan, PR
National Provider Identifier
1104045350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00667
- Practice address
- D32 Carr 845
Fair View
San Juan, PR 00926-8146 - Phone
- (787) 502-3375
- Fax
- (787) 755-3285
- NPI assigned
- Apr 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00667 | PR | Primary |
Addresses
Primary practice location
D32 Carr 845
Fair View
San Juan, PR 00926-8146
Mailing address
PO Box 1799
Trujillo Alto, PR 00977-1799
Phone (787) 502-3375
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00667 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104045350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1799",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009771799",
"telephone_number": "787-502-3375",
"fax_number": "787-755-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D32 CARR 845",
"address_2": "FAIR VIEW",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009268146",
"telephone_number": "787-502-3375",
"fax_number": "787-755-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAISCA",
"first_name": "HEIDI",
"middle_name": "ESTHER",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "00667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.