Healthcare Provider Details

I. General information

NPI: 1740147149
Provider Name (Legal Business Name): MARTA I MARCHESE OCCUPATIONA THERAPIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 AVE PONCE DE LEON STE 712
SAN JUAN PR
00917-3710
US

IV. Provider business mailing address

PO BOX 270442
SAN JUAN PR
00928-2442
US

V. Phone/Fax

Practice location:
  • Phone: 939-205-2345
  • Fax:
Mailing address:
  • Phone: 939-205-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number516
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: