Active NPI
Ivette Moll
- Occupational Therapist
- Carolina, PR
National Provider Identifier
1326938283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 579
- Practice address
- 54 Blvd de la Media Luna
1503 Jardines del Parque
Carolina, PR 00987 - Phone
- (939) 588-4133
- NPI assigned
- Jul 3, 2025
- Sex
- Female
- 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 | 579 | PR | Primary |
Addresses
Primary practice location
54 Blvd de la Media Luna
1503 Jardines del Parque
Carolina, PR 00987
Mailing address
54 Blvd de la Media Luna
1503 Jardines del Parque
Carolina, PR 00987
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1326938283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 BLVD DE LA MEDIA LUNA",
"address_2": "1503 JARDINES DEL PARQUE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 BLVD DE LA MEDIA LUNA",
"address_2": "1503 JARDINES DEL PARQUE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "939-588-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLL",
"first_name": "IVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.