Azzur Advanced Therapeutics LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

AZZUR ADVANCED THERAPEUTICS LLC

Practice address

1127 Ave Munoz Rivera Local 4
Villa Grillasca
Ponce, PR 00717

Phone

(939) 384-4378

NPI assigned

Jul 17, 2026

Organization subpart

No

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

Authorized official

Name

Omar Javier RodriguezNPI 1487574786

Title

President

Phone

(787) 667-7674

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Javier Rodriguez

  • Occupational Therapy Assistant
  • Ponce, PR
  • NPI 1487574786
  NPD (past) Authorized official

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1730009028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 DOLORES P MACHADO",
            "address_2": "URB VILLAS DE RIO CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281933",
            "telephone_number": "939-384-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 AVE MUNOZ RIVERA LOCAL 4",
            "address_2": "VILLA GRILLASCA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "939-384-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZZUR ADVANCED THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-667-7674"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axel Ayala, BOCP-C49908,CFO01527
• Edilberto Ayala, M.D.
• Giovanni Arnaldo Ayala
• Jaime Ayala, M.D.
• David Aymat Casanova
• B G Medical Services, CSP
• Jashira Evette Babilonia Banuchi
• Keisha Bachour Ramirez
• German Jose Baco Padilla
• Juliana De Los Angeles Baco Padilla

• Occupational Therapist in Ponce, PR
• Providers in Ponce, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.