Healthcare Provider Details

I. General information

NPI: 1063376432
Provider Name (Legal Business Name): CATHERINE S GALARZA RIVERA ATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12012 CALLE GUAJANA
VILLALBA PR
00766-3010
US

IV. Provider business mailing address

12012 CALLE GUAJANA
VILLALBA PR
00766-3010
US

V. Phone/Fax

Practice location:
  • Phone: 939-630-0864
  • Fax: 939-630-0864
Mailing address:
  • Phone: 787-243-3793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number000781
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: