Active NPI
Luz E Lassalle-Nieves, OTR/L
- Occupational Therapist
- Mayaguez, PR
National Provider Identifier
1912197971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 391
- Practice address
- Ave Hostos # 410
Suite 1
Mayaguez, PR 00682-6353 - Phone
- (787) 832-6015
- Fax
- (787) 832-6015
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 391 | PR | Primary |
Addresses
Primary practice location
Ave Hostos # 410
Suite 1
Mayaguez, PR 00682-6353
Mailing address
HC 3 Box 29240-6
Aguada, PR 00602-9738
Phone (787) 868-4418
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 |
|---|---|---|---|
| 391 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1912197971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 29240-6",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029738",
"telephone_number": "787-868-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE HOSTOS # 410",
"address_2": "SUITE 1",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826353",
"telephone_number": "787-832-6015",
"fax_number": "787-832-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSALLE-NIEVES",
"first_name": "LUZ",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.