Individual provider Active NPI

Mabel Correa Rodriguez, OTH

  • Occupational Therapist
  • Hato Rey, PR
National Provider Identifier
1326194374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
61684 Issued in PR
Practice address
Urb Perez Morris
Calle Baez # 500
Hato Rey, PR 00917
Phone
(787) 767-6710
Fax
(787) 758-0950
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 61684 PR Primary

Addresses

Primary practice location

Urb Perez Morris
Calle Baez # 500
Hato Rey, PR 00917

Mailing address

PO Box 360325
San Juan, PR 00936-0325
Phone (787) 767-6710

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
61684PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 2

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326194374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360325",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360325",
            "telephone_number": "787-767-6710",
            "fax_number": "787-758-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PEREZ MORRIS",
            "address_2": "CALLE BAEZ # 500",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-767-6710",
            "fax_number": "787-758-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA RODRIGUEZ",
        "first_name": "MABEL",
        "credential": "OTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "61684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.