Active NPI
Nyliem Marie Perez
- Occupational Therapy Assistant
- Ponce, PR
National Provider Identifier
1972224962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- Avenida Fagot
Ponce, PR 00716 - Phone
- (787) 299-0758
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | PR | Primary |
Addresses
Primary practice location
Avenida Fagot
Ponce, PR 00716
Mailing address
H3 Calle 6
Urb. la Lula
Ponce, PR 00730
Phone (787) 299-0758
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ATO | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1972224962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "H3 CALLE 6",
"address_2": "URB. LA LULA",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-299-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA FAGOT",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-299-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "NYLIEM",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ATO",
"affiliation": "N",
"endpointDescription": "ATO",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "ATO",
"address_1": "Avenida Fagot",
"city": "Ponce",
"state": "PR",
"country_code": "US",
"postal_code": "00716",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.