Active NPI
Deirieris Mendez Lopez, OTL
- Occupational Therapist
- Cabo Rojo, PR
National Provider Identifier
1639100175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 901
- Practice address
- 3039 Calle Malaga
Cabo Rojo, PR 00623-8965 - Phone
- (787) 923-8271
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 901 | PR | Primary |
Addresses
Primary practice location
3039 Calle Malaga
Cabo Rojo, PR 00623-8965
Mailing address
3039 Calle Malaga
Cabo Rojo, PR 00623-8965
Phone (787) 923-8271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060728000095 | PR | Practitioner - Occupational Therapist in Private Practice | 2365455896 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901 | PR | MD | Occupational Therapist |
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": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1639100175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3039 CALLE MALAGA",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006238965",
"telephone_number": "787-923-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3039 CALLE MALAGA",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006238965",
"telephone_number": "787-923-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ LOPEZ",
"first_name": "DEIRIERIS",
"name_prefix": "Mrs.",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.