Edith Rose Bezares, OTL
Individual provider Active NPI Occupational Therapist · Juncos, PR
NPI 1700440682 · NPPES record last updated Apr 26, 2019
Key facts
- NPI
- 1700440682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 665 (PR)
- Practice address
- Carr919 KM0.7 Bo Valenciano Abajo
Juncos, PR 00777 - Phone
- (787) 691-8654
- NPI assigned
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 665 | PR | Yes |
Addresses
Primary practice location
Carr919 KM0.7 Bo Valenciano Abajo
Juncos, PR 00777
Mailing address
Avenida Marcelito Gotay
Fajardo, PR 00738-1207
Phone (787) 801-5959
Other providers in Juncos, PR
- Autentic Sunglasess & Optical
- Arindoramis Lorein Ayala Carrasquillo
- Wilson Batista
- Edda Liz Bautista Perez
- Nannette Berrios
- Bravo Dental LLC
- Ricardo A Bravo
- Ricardo J Bravo
- Diana Bunker
- C&F Acupuncture Services, Inc.
All providers in Juncos, PR · Occupational Therapist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.