Individual provider Active NPI

Ivonne Yamil Rodriguez Ramos

  • Occupational Therapist
  • Gurabo, PR
National Provider Identifier
1265789861
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1036 Issued in PR
Practice address
Road 189 KM 6.4 Marina Plaza
Suite 17
Gurabo, PR 00778-4200
Phone
(787) 737-6493
Fax
(787) 737-6493
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 1036 PR Primary

Addresses

Primary practice location

Road 189 KM 6.4 Marina Plaza
Suite 17
Gurabo, PR 00778-4200

Mailing address

HC 1 Box 26910
Caguas, PR 00725-8933
Phone (787) 737-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121213000448 PR Practitioner - Occupational Therapist in Private Practice 2860644184 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy Group PSC Occupational Therapist CurrentSince Nov 9, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1265789861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 26910",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258933",
            "telephone_number": "787-737-6493",
            "fax_number": "787-737-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 189 KM 6.4 MARINA PLAZA",
            "address_2": "SUITE 17",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007784200",
            "telephone_number": "787-737-6493",
            "fax_number": "787-737-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RAMOS",
        "first_name": "IVONNE",
        "middle_name": "YAMIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.