Individual provider Active NPI

Tamara Yali Mori Diaz

  • Occupational Therapy Assistant
  • Ponce, PR
National Provider Identifier
1861251647
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1391 Issued in PR
Practice address
906 Calle Dr Virgilio Biaggi
Urb Villa Grillasca
Ponce, PR 00717-1108
Phone
(787) 840-7928
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1391 PR Primary

Addresses

Primary practice location

906 Calle Dr Virgilio Biaggi
Urb Villa Grillasca
Ponce, PR 00717-1108

Mailing address

E1 Calle 5
Yauco, PR 00698-4308
Phone (939) 525-0225

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

LicenseStateTypeSpecialty
1391PRMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Interdisciplinario Psicoeducativo PastSince Mar 17, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1861251647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E1 CALLE 5",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006984308",
            "telephone_number": "939-525-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 CALLE DR VIRGILIO BIAGGI",
            "address_2": "URB VILLA GRILLASCA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171108",
            "telephone_number": "787-840-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI DIAZ",
        "first_name": "TAMARA",
        "middle_name": "YALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.