Individual provider Active NPI

Marisela Perez Cruz

  • Occupational Therapist
  • Vega Alta, PR
National Provider Identifier
1891103297
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21215 Issued in FL
Practice address
37 Calle Luis Munoz Rivera
10A
Vega Alta, PR 00692
Phone
(787) 647-0446
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1235 PR
Occupational Therapist 225X00000X 21215 FL Primary

Addresses

Primary practice location

37 Calle Luis Munoz Rivera
10A
Vega Alta, PR 00692

Mailing address

PO Box 606
Toa Baja, PR 00951-0606
Phone (787) 647-0446

Other practice location 1

HC 33 Box 2047
Dorado, PR 00646-9703
Phone (787) 647-0446

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
1235PRMDGeneral Practice Dentistry
21215FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1891103297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009510606",
            "telephone_number": "787-647-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE LUIS MUNOZ RIVERA",
            "address_2": "10A",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-647-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 33 Box 2047",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "006469703",
            "country_code": "US",
            "telephone_number": "787-647-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ CRUZ",
        "first_name": "MARISELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1235",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.