Active NPI
Angela Enid Valencia, OTL
- Pediatric Occupational Therapist
- Bayamon, PR
National Provider Identifier
1831508142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 723
- Practice address
- F-5 Ave. Lomas Verdes
Bayamon, PR 00956-3146 - Phone
- (787) 644-9578
- NPI assigned
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 723 | PR | Primary |
Addresses
Primary practice location
F-5 Ave. Lomas Verdes
Bayamon, PR 00956-3146
Mailing address
574 Calle Berwin
Urb. Summit Hills
San Juan, PR 00920-4303
Phone (787) 644-9578
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 |
|---|---|---|---|
| 723 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1831508142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "574 CALLE BERWIN",
"address_2": "URB. SUMMIT HILLS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009204303",
"telephone_number": "787-644-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "F-5 AVE. LOMAS VERDES",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563146",
"telephone_number": "787-644-9578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "ANGELA",
"middle_name": "ENID",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PR",
"license": "723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.