Individual provider Active NPI

Angelis Fernandez Torres, OTR/L

  • Occupational Therapist
  • San Juan, PR
National Provider Identifier
1679138218
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1378 Issued in PR
Practice address
Av. Luis Vigoreaux, Carretera #19 KM. 0.6 Monacillo,
San Juan, PR 00966
Phone
(787) 783-2226
NPI assigned
May 9, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1378 PR Primary

Addresses

Primary practice location

Av. Luis Vigoreaux, Carretera #19 KM. 0.6 Monacillo,
San Juan, PR 00966

Mailing address

Av. Luis Vigoreaux
Carretera #19 KM. 0.6 Monacillo,
Guaynabo, PR 00966
Phone (787) 479-0849

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
1378PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1679138218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AV. LUIS VIGOREAUX",
            "address_2": "CARRETERA #19 KM. 0.6 MONACILLO,",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-479-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV. LUIS VIGOREAUX, CARRETERA #19 KM. 0.6 MONACILLO,",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-783-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ TORRES",
        "first_name": "ANGELIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1378",
            "primary": true
        }
    ],
    "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 Sep 2, 2025; 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.