Atalia Hernandez Carrasquillo

Individual provider Active NPI Occupational Therapy Assistant · Juncos, PR

NPI 1447600168 · NPPES record last updated Jun 14, 2016

Key facts

NPI
1447600168
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1087 (PR)
Practice address
22 Carr 31
Bo Ceiba Norte
Juncos, PR 00777-3896
Phone
(787) 679-6569
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1087PRMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1087 PR Yes

Addresses

Primary practice location

22 Carr 31
Bo Ceiba Norte
Juncos, PR 00777-3896

Mailing address

22 Carr 31
Bo Ceiba Norte
Juncos, PR 00777-3896
Phone (787) 679-6569

Other providers in Juncos, PR

All providers in Juncos, PR · Occupational Therapy Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.