Active NPI
Michael Manuel Guzman, MS OTL
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1306022512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1075
- Practice address
- 1710 Calle Ter
Urb. Rio Piedras Heights
San Juan, PR 00926-3253 - Phone
- (939) 639-5560
- NPI assigned
- Jan 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1075 | PR | Primary |
Addresses
Primary practice location
1710 Calle Ter
Urb. Rio Piedras Heights
San Juan, PR 00926-3253
Mailing address
1710 Calle Ter
Urb. Rio Piedras Heights
San Juan, PR 00926-3253
Phone (939) 639-5560
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1306022512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 CALLE TER",
"address_2": "URB. RIO PIEDRAS HEIGHTS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263253",
"telephone_number": "939-639-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 CALLE TER",
"address_2": "URB. RIO PIEDRAS HEIGHTS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263253",
"telephone_number": "939-639-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "MICHAEL",
"middle_name": "MANUEL",
"credential": "MS OTL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1075",
"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 17, 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.