Individual provider Active NPI

Heydi Colon Alicea, OTL

  • Occupational Therapist
  • San Juan, PR
National Provider Identifier
1861630485
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
743 Issued in PR
Practice address
759 Ave Avelino Vicente
San Juan, PR 00909-2538
Phone
(787) 303-9662
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 743 PR Primary

Addresses

Primary practice location

759 Ave Avelino Vicente
San Juan, PR 00909-2538

Mailing address

25 Calle Coronel Irizarry
Urb San Martin
Cayey, PR 00736-3304
Phone (787) 975-9891

Other practice location 1

Urb Industrial Reparada
2188 Local a Suite a Ponce by Pass
Ponce, PR 00716
Phone (787) 844-4628

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
743PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiquirimundi Medical LLC Occupational Therapist PastSince Dec 17, 2023 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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1861630485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CALLE CORONEL IRIZARRY",
            "address_2": "URB SAN MARTIN",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363304",
            "telephone_number": "787-975-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AVE AVELINO VICENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092538",
            "telephone_number": "787-303-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "URB INDUSTRIAL REPARADA",
            "address_2": "2188 LOCAL A SUITE A PONCE BY PASS",
            "address_purpose": "LOCATION",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "787-844-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON ALICEA",
        "first_name": "HEYDI",
        "name_prefix": "Mrs.",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.