Individual provider Active NPI

Marie Sandra Lopez Balaez, OT

  • Occupational Therapist
  • Luquillo, PR
National Provider Identifier
1215886536
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1062 Issued in PR
Practice address
Calle 2
Urb. Brisas del Mar
Luquillo, PR 00000-0773
Phone
(787) 889-4333
NPI assigned
Jan 28, 2026
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 1062 PR Primary

Addresses

Primary practice location

Calle 2
Urb. Brisas del Mar
Luquillo, PR 00000-0773

Mailing address

B26 Calle O
Fajardo, PR 00738-3219
Phone (787) 556-5851

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
1062PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1215886536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B26 CALLE O",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383219",
            "telephone_number": "787-556-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2",
            "address_2": "URB. BRISAS DEL MAR",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "000000773",
            "telephone_number": "787-889-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BALAEZ",
        "first_name": "MARIE",
        "middle_name": "SANDRA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.