Healthcare Provider Details

I. General information

NPI: 1689636664
Provider Name (Legal Business Name): NORIVEL CHAPARRO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 417 KM. 2.7 BO. MALPASO
AGUADA PR
00602
US

IV. Provider business mailing address

PO BOX 9000 SUITE 624
AGUADA PR
00602
US

V. Phone/Fax

Practice location:
  • Phone: 787-868-0874
  • Fax: 787-868-0874
Mailing address:
  • Phone: 787-868-0874
  • Fax: 787-868-0874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number525
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: