Individual provider Active NPI

Christine Marie Irizarry

  • Occupational Therapy Assistant
  • San Sebastian, PR
National Provider Identifier
1124845631
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0863 Issued in PR
Practice address
66 Calle MJ Cabrero
San Sebastian, PR 00685-4843
Phone
(787) 955-0270
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 0863 PR Primary

Addresses

Primary practice location

66 Calle MJ Cabrero
San Sebastian, PR 00685-4843

Mailing address

PO Box 166
Camuy, PR 00627-0166
Phone (787) 202-0826

Other practice location 1

Carr 486 interior Bo. Zanja
Sector Vega
Camuy, PR 00627-0166
Phone (787) 202-0826

Other practice location 2

2 Carr Puerto Rico 2 KM 6.3
Hatillo, PR 00659
Phone (787) 915-3000

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
0863PRMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1124845631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270166",
            "telephone_number": "787-202-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE MJ CABRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006854843",
            "telephone_number": "787-955-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 486 interior Bo. Zanja",
            "address_2": "Sector Vega",
            "address_purpose": "LOCATION",
            "city": "Camuy",
            "state": "PR",
            "postal_code": "006270166",
            "country_code": "US",
            "telephone_number": "787-202-0826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Carr Puerto Rico 2 KM 6.3",
            "address_purpose": "LOCATION",
            "city": "Hatillo",
            "state": "PR",
            "postal_code": "00659",
            "country_code": "US",
            "telephone_number": "787-915-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "0863",
            "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 Sep 25, 2024; 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.