OT Clinical Group Corp

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

422 Issued in PR

Legal business name

OT CLINICAL GROUP CORP

Practice address

SS3 Calle 35
Urb. Santa Juanita
Bayamon, PR 00956-4748

Phone

(787) 785-9683

Fax

(787) 785-9683

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Doris Vega Villavicencio, MPH,OTR/L

Title

Presidenta

Phone

(787) 785-9683

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doris Vega Villavicencio, MPH,OTR/L

  • Occupational Therapist
  • Bayamon, PR
  • NPI 1164494472
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1255303467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SS3 CALLE 35",
            "address_2": "URB. SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564748",
            "telephone_number": "787-785-9683",
            "fax_number": "787-785-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SS3 CALLE 35",
            "address_2": "URB. SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564748",
            "telephone_number": "787-785-9683",
            "fax_number": "787-785-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT CLINICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "VILLAVICENCIO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "VEGA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-785-9683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH,OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "890461",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Enrique Osorio Manotas, M.D.
• Oscar O Osorio-Valentin, M.D.
• Glorymar Ostolaza Villarrubia, MD
• Ivette Ostolaza-Rodriguez, MD
• Kashley A Ostolaza
• Jose Gabriel Otero Class
• Karen Otero Falcon, MD, MPH
• Nelson Lemuel Otero Rosa, BSN
• Angel M Otero, D.M.D.
• Edwin Otero

• Occupational Therapist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.