Active NPI
Zullybel Mendoza Keppis, OTR/L
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1679882997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1108
- Practice address
- 1135 Ave 65 Infanteria
Plaza Iturregui Shopping Center Suite 17
San Juan, PR 00924-3402 - Phone
- (787) 769-7100
- NPI assigned
- Oct 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1108 | PR | Primary |
Addresses
Primary practice location
1135 Ave 65 Infanteria
Plaza Iturregui Shopping Center Suite 17
San Juan, PR 00924-3402
Mailing address
1135 Ave 65 Infanteria
Plaza Iturregui Shopping Center Suite 17
San Juan, PR 00924-3402
Phone (787) 769-7100
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 |
|---|---|---|---|
| 1108 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Capestrano Hospital, Inc. | Past | Accepting new patients | |
| San Juan Capestrano Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Juan, PR
- NPI 1144439621
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hatillo, PR
- NPI 1669673885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1679882997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 AVE 65 INFANTERIA",
"address_2": "PLAZA ITURREGUI SHOPPING CENTER SUITE 17",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243402",
"telephone_number": "787-769-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 AVE 65 INFANTERIA",
"address_2": "PLAZA ITURREGUI SHOPPING CENTER SUITE 17",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243402",
"telephone_number": "787-769-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA KEPPIS",
"first_name": "ZULLYBEL",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1108",
"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 Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.