Mercedes Caridad Carallol Corzo, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

16006 Issued in FL

Practice address

454 NW 22ND Ave Ste 108
Miami, FL 33125-3355

Phone

(305) 890-9691

Fax

(305) 647-6127

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Viva Therapy Services

  • Pediatric Occupational Therapist
  • Miami, FL
  • NPI 1821476953
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1174192405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 NW 35TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253808",
            "telephone_number": "786-366-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 NW 22ND AVE STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253355",
            "telephone_number": "305-890-9691",
            "fax_number": "305-647-6127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 NW 7th St Ste 224",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331253562",
            "country_code": "US",
            "telephone_number": "786-542-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARALLOL CORZO",
        "first_name": "MERCEDES",
        "middle_name": "CARIDAD",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Carabeo, PHLEBOTOMIST
• Caracole Medical Supplies Inc
• Christopher Joseph Carafa, MD
• Carelys Caraguiche
• Panagiota V Caralis, MD
• Carami Equipment Inc
• Carana Health
• Ivette Carasa Fernandez
• Maidel Carasa Rodriguez
• Amanda Marie Caravia, D.M.D

• Occupational Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.