Active NPI
Marie Carmen Rivera, OTL
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1629233259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 626
- Practice address
- PO Box 365067
San Juan, PR 00936-5067 - Phone
- (787) 758-2525
- NPI assigned
- Jul 23, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 626 | PR | Primary |
| Professional Counselor | 101YP2500X | 1601 | PR |
Addresses
Primary practice location
PO Box 365067
San Juan, PR 00936-5067
Mailing address
PO Box 365067
San Juan, PR 00936-5067
Phone (787) 758-2525
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1601 | PR | MD | Dentist |
| 626 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1629233259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365067",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-758-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 365067",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARIE",
"middle_name": "CARMEN",
"name_prefix": "Mrs.",
"credential": "OTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "626",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "1601",
"primary": false
}
],
"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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.