Active NPI
Nicolle Rodriguez Mercado, OTR
- Occupational Therapist
- Cayey, PR
National Provider Identifier
1679180806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1305
- Practice address
- Carretera 735 KM 0.5
Cayey, PR 00736 - Phone
- (787) 467-7459
- NPI assigned
- Oct 1, 2020
- Last updated
- Nov 20, 2024
- 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 | 1305 | PR | Primary |
Addresses
Primary practice location
Carretera 735 KM 0.5
Cayey, PR 00736
Mailing address
475 Carr 8860 # App2386
Trujillo Alto, PR 00976-5401
Phone (787) 467-7459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapro | Multi-Specialty | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1679180806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 CARR 8860 # APP2386",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009765401",
"telephone_number": "787-467-7459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 735 KM 0.5",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-467-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ MERCADO",
"first_name": "NICOLLE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.