Active NPI
Luis E Perez Sr., OTL
- Occupational Therapist
- San Sebastian, PR
National Provider Identifier
1659619930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 784
- Practice address
- RR 1 Box 44268
San Sebastian, PR 00685-6216 - Phone
- (787) 375-7868
- NPI assigned
- Jan 22, 2013
- Sex
- Male
- 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 | 784 | PR | Primary |
Addresses
Primary practice location
RR 1 Box 44268
San Sebastian, PR 00685-6216
Mailing address
RR 1 Box 44268
San Sebastian, PR 00685-6216
Phone (787) 375-7868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784 | Other | PR | OCCUPATIONAL THERAPIST LICENSE |
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 |
|---|---|---|---|
| 784 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1659619930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 44268",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006856216",
"telephone_number": "787-375-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 44268",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006856216",
"telephone_number": "787-375-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LUIS",
"middle_name": "E",
"name_suffix": "Sr.",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST LICENSE",
"identifier": "784",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.