Active NPI
Coraly Yambo
- Pediatric Occupational Therapist
- San Juan, PR
National Provider Identifier
1457843013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 500 Calle Baez
San Juan, PR 00917-5020 - Phone
- (787) 597-4215
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
500 Calle Baez
San Juan, PR 00917-5020
Mailing address
HC 4 Box 18464
Camuy, PR 00627-9515
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": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1457843013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 18464",
"city": "CAMUY",
"state": "PR",
"postal_code": "006279515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CALLE BAEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175020",
"telephone_number": "787-597-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMBO",
"first_name": "CORALY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"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 May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.