Individual provider Active NPI

Juan Nieves

  • Physical Rehabilitation Occupational Therapist
  • Caguas, PR
National Provider Identifier
1760837157
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
923 Issued in PR
Practice address
2 Calle Capuchino 382
Borinquen Valley
Caguas, PR 00725-9580
Phone
(787) 672-4230
NPI assigned
May 4, 2016
Last updated
May 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 923 PR Primary

Addresses

Primary practice location

2 Calle Capuchino 382
Borinquen Valley
Caguas, PR 00725-9580

Mailing address

2 Calle Capuchino 382
Borinquen Valley
Caguas, PR 00725-9580
Phone (787) 672-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529003761 PR Practitioner - Occupational Therapist in Private Practice 7012359508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
923PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Lab Rehab Services, PSC CurrentSince Apr 1, 2024 Accepting new patients

Locations

30 Calle Padial
Ste 206
Caguas, PR 00725
Phone (787) 237-8491

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1760837157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE CAPUCHINO 382",
            "address_2": "BORINQUEN VALLEY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259580",
            "telephone_number": "787-672-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE CAPUCHINO 382",
            "address_2": "BORINQUEN VALLEY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259580",
            "telephone_number": "787-672-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PR",
            "license": "923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.

Verify at the official NPI Registry.