Individual provider Active NPI

Samariz Fragoso, OT

  • Occupational Therapist
  • Guaynabo, PR
National Provider Identifier
1275054827
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
925-1 Issued in PR
Practice address
Edificio 3077 PR 838 KM 1.5
Camino Alejandrino
Guaynabo, PR 00969-4800
Phone
(787) 409-0444
NPI assigned
Jul 5, 2017
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 925-1 PR Primary

Addresses

Primary practice location

Edificio 3077 PR 838 KM 1.5
Camino Alejandrino
Guaynabo, PR 00969-4800

Mailing address

Villa Nevarez
1079 Calle 8
San Juan, PR 00927
Phone (939) 988-7298

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
925-1PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Espacio 7, LLC Occupational Therapist CurrentSince Apr 13, 2025 Accepting new patients
Aos Peds Rehab, LLC Past Accepting new patients
Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc Occupational Therapist PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1275054827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA NEVAREZ",
            "address_2": "1079 CALLE 8",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "939-988-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO 3077 PR 838 KM 1.5",
            "address_2": "CAMINO ALEJANDRINO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694800",
            "telephone_number": "787-409-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO",
        "first_name": "SAMARIZ",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.