Individual provider Active NPI

Maria Isabel De la Torre-Vazquez, OTR/L

  • Occupational Therapist
  • Caguas, PR
National Provider Identifier
1114980133
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
142 Issued in PR
Practice address
Ab5 Calle Nebraska
Urb. Caguas Note
Caguas, PR 00725-2240
Phone
(787) 704-0421
Fax
(787) 746-8551
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 142 PR Primary

Addresses

Primary practice location

Ab5 Calle Nebraska
Urb. Caguas Note
Caguas, PR 00725-2240

Mailing address

Ab5 Calle Nebraska
Urb. Caguas Note
Caguas, PR 00725-2240
Phone (787) 704-0421

Other identifiers 1

IdentifierTypeStateIssuer
50482OtherPRPMC MEDICARE CHOICE

Other names 1

  • Maria I. Rodriguez Other name

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

LicenseStateTypeSpecialty
142PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mediquip Services Corp Past Accepting new patients
Mediquip Services Corp. Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1114980133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AB5 CALLE NEBRASKA",
            "address_2": "URB. CAGUAS NOTE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252240",
            "telephone_number": "787-704-0421",
            "fax_number": "787-746-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AB5 CALLE NEBRASKA",
            "address_2": "URB. CAGUAS NOTE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252240",
            "telephone_number": "787-704-0421",
            "fax_number": "787-746-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE-VAZQUEZ",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC MEDICARE CHOICE",
            "identifier": "50482",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RODRIGUEZ",
            "middle_name": "I.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 7, 2020; 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.