Individual provider Active NPI

Luz Eneida Vazquez I, TERAPIA OCUPACIONAL

  • Occupational Therapist
  • Salinas, PR
National Provider Identifier
1578234126
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
531 Issued in PR
Practice address
Carr 3 KM 152.1
Parada 16
Salinas, PR 00751
Phone
(787) 410-6076
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 531 PR Primary

Addresses

Primary practice location

Carr 3 KM 152.1
Parada 16
Salinas, PR 00751

Mailing address

Barrio Corazon
Calle Candelaria Buzon 34a Panel #7
Guayama, PR 00784-4240
Phone (787) 501-4730

Other identifiers 1

IdentifierTypeStateIssuer
15573XOtherPRINSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smartpediatriccare@gmail.com Direct

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
531PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1578234126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARRIO CORAZON",
            "address_2": "CALLE CANDELARIA BUZON 34A PANEL #7",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844240",
            "telephone_number": "787-501-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 152.1",
            "address_2": "PARADA 16",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-410-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "LUZ",
        "middle_name": "ENEIDA",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "TERAPIA OCUPACIONAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "15573X",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smartpediatriccare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carr 3 Km 152.1",
            "address_2": "Parada 16",
            "city": "Salinas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.