Organization Active NPI

MSL Therapeutical Services, PSC

  • Occupational Therapist
  • Caguas, PR
National Provider Identifier
1881835635
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MSL THERAPEUTICAL SERVICES, PSC
Practice address
B5 Calle Corchado
Ave Jose Villares Urb Paradis
Caguas, PR 00725-2622
Phone
(787) 594-1126
Fax
(787) 744-6443
NPI assigned
Mar 8, 2009
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mrs. Maricarmen Fontanet Aviles, OT
Title
Owner
Phone
(787) 744-4828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

B5 Calle Corchado
Ave Jose Villares Urb Paradis
Caguas, PR 00725-2622

Mailing address

PO Box 4956
PMB 2105
Caguas, PR 00726-4956
Phone (787) 594-1126

Other identifiers 1

IdentifierTypeStateIssuer
038888200MedicaidPR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000218 PR Part B Supplier - Clinic/Group Practice 2163674102 Receives reassigned benefits from 3 practitioners
Practice locations: Gurabo, PR

National Provider Directory

National Provider Directory
Tax ID family
MSL Therapeutical Services PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

M4 Calle Santa Maria
Caguas, PR 00725

Practitioners & affiliated clinicians

Practitioners 5

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": "1236470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1881835635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4956",
            "address_2": "PMB 2105",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264956",
            "telephone_number": "787-594-1126",
            "fax_number": "787-744-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B5 CALLE CORCHADO",
            "address_2": "AVE JOSE VILLARES URB PARADIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252622",
            "telephone_number": "787-594-1126",
            "fax_number": "787-744-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSL THERAPEUTICAL SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-08",
        "last_updated": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "FONTANET AVILES",
        "authorized_official_first_name": "MARICARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-744-4828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038888200",
            "state": "PR"
        }
    ],
    "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 Aug 5, 2024; 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.