Individual provider Active NPI

Maritza Membreno, MOTR/L

  • Occupational Therapist
  • Hialeah, FL
National Provider Identifier
1467769927
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT14044 Issued in FL
Practice address
591 E 48TH St
Hialeah, FL 33013-1955
Phone
(305) 681-5555
Fax
(305) 681-5555
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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 OT14044 FL Primary

Addresses

Primary practice location

591 E 48TH St
Hialeah, FL 33013-1955

Mailing address

591 E 48TH St
Hialeah, FL 33013-1955
Phone (305) 681-5555

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leon Rehabilitation and Nursing Services, Inc PastSince May 18, 2018 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1467769927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 E 48TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131955",
            "telephone_number": "305-681-5555",
            "fax_number": "305-681-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E 48TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131955",
            "telephone_number": "305-681-5555",
            "fax_number": "305-681-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMBRENO",
        "first_name": "MARITZA",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.