Individual provider Active NPI

Iveliz Vazquez-Hernandez, MPH, OTL

  • Mental Health Occupational Therapist
  • San Juan, PR
National Provider Identifier
1285953224
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
741 Issued in PR
Practice address
1735 Carr 844
San Juan, PR 00926-4446
Phone
(787) 647-1266
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 741 PR
Mental Health Occupational Therapist 225XM0800X 741 PR Primary

Addresses

Primary practice location

1735 Carr 844
San Juan, PR 00926-4446

Mailing address

410 Calle Dresde
Villa Borinquen
San Juan, PR 00920-3709
Phone (787) 645-0873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002217 PR Practitioner - Occupational Therapist in Private Practice 3072037357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cupey Therapy Group CurrentSince Apr 4, 2025 Accepting new patients

Locations

1735 Carr 844
San Juan, PR 00926
Phone (787) 647-1266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1285953224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CALLE DRESDE",
            "address_2": "VILLA BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203709",
            "telephone_number": "787-645-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 CARR 844",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264446",
            "telephone_number": "787-647-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-HERNANDEZ",
        "first_name": "IVELIZ",
        "credential": "MPH, OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PR",
            "license": "741",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "PR",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.