Individual provider Active NPI

Maritza Cordero Gonzalez, OTR/L

  • Occupational Therapist
  • San Sebastian, PR
National Provider Identifier
1972816643
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0987 Issued in PR
Practice address
66 Calle MJ Cabrero
San Sebastian, PR 00685-4843
Phone
(787) 955-0270
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 0987 PR Primary

Addresses

Primary practice location

66 Calle MJ Cabrero
San Sebastian, PR 00685-4843

Mailing address

HC 7 Box 76350
San Sebastian, PR 00685-7366
Phone (787) 464-0810

Other practice location 1

HC 7 Box 75624
San Sebastian, PR 00685-7306
Phone (787) 464-0810

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
0987PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
M.C. Therapy Center LLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

66 Calle Mj Cabrero
San Sebastian, PR 00685
Phone (787) 896-7000

67 Calle Pavia Fernandez
San Sebastian, PR 00685
Phone (787) 517-2024

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1972816643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 76350",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006857366",
            "telephone_number": "787-464-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE MJ CABRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006854843",
            "telephone_number": "787-955-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 7 Box 75624",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "006857306",
            "country_code": "US",
            "telephone_number": "787-464-0810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO GONZALEZ",
        "first_name": "MARITZA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "0987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.