NPIMap

Organization Active NPI

Shapes PR LLC

  • Occupational Therapist
  • San Sebastian, PR
National Provider Identifier
1750914008
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SHAPES PR LLC
Practice address
Ave. Arcadio Estrada 4160
Suite 209
San Sebastian, PR 00685-0000
Phone
(787) 908-0908
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAPES PR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Wilnelia Lopez Aqino, OT
Title
President
Phone
(787) 908-0908

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

Ave. Arcadio Estrada 4160
Suite 209
San Sebastian, PR 00685-0000

Mailing address

Ave. Arcadio Estrada 4160
Suite 209
San Sebastian, PR 00685-0000
Phone (787) 908-0908

National Provider Directory

National Provider Directory
Part of
Shapes PR LLC

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1750914008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. ARCADIO ESTRADA 4160",
            "address_2": "SUITE 209",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850000",
            "telephone_number": "787-908-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ARCADIO ESTRADA 4160",
            "address_2": "SUITE 209",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850000",
            "telephone_number": "787-908-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPES PR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAPES PR LLC",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "LOPEZ AQINO",
        "authorized_official_first_name": "WILNELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-908-0908",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.