Individual provider Active NPI

Wanda Balagtas, OTR/L

  • Pediatric Occupational Therapist
  • San Juan, PR
National Provider Identifier
1407175979
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
792 Issued in PR
Practice address
Hospital del Nino de Puerto Rico
Apartado 2124
San Juan, PR 00922-2124
Phone
(787) 783-2226
NPI assigned
May 24, 2010
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 792 PR Primary

Addresses

Primary practice location

Hospital del Nino de Puerto Rico
Apartado 2124
San Juan, PR 00922-2124

Mailing address

Bo. Monacillos Ave.Luis Vigoreaux #1490 Carr. 19
Guaynabo, PR 00966
Phone (787) 783-2226

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
792PRMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sociedad Pro Hospital del Nino CurrentSince Oct 12, 2025 Accepting new patients

Locations

1490 Carr 19
Guaynabo, PR 00966
Phone (787) 546-3318

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, 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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1407175979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO. MONACILLOS AVE.LUIS VIGOREAUX #1490 CARR. 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-783-2226",
            "fax_number": "787-783-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL DEL NINO DE PUERTO RICO",
            "address_2": "APARTADO 2124",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222124",
            "telephone_number": "787-783-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAGTAS",
        "first_name": "WANDA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PR",
            "license": "792",
            "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 Oct 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.