Healthcare Provider Details

I. General information

NPI: 1154246684
Provider Name (Legal Business Name): CLARIBEL RODRIGUEZ LOPEZ OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 814 KM 0.4 INT BO CEDRO ABAJO
NARANJITO PR
00719-9998
US

IV. Provider business mailing address

15 SECTOR LOS ALVARADO
NARANJITO PR
00719-3805
US

V. Phone/Fax

Practice location:
  • Phone: 787-462-1779
  • Fax:
Mailing address:
  • Phone: 787-528-3498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1313
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: