MEDICARE: GRACIELA MARIA RAMIREZ CAPELLA MS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1236	PR

General Provider Information

NPI Number	:	1932518354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIELA MARIA RAMIREZ CAPELLA MS OTR/L

Provider Business Mailing Address
First Line	:	C35 CALLE 10
Second Line	:	PASEO MAYOR
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4670
Country	:	US
Telephone Number	:	787-423-7403
Fax Number	:

Provider Business Practice Location Address
First Line	:	C35 CALLE 10
Second Line	:	PASEO MAYOR
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4670
Country	:	US
Telephone Number	:	787-423-7403
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2014
Last Update Date	:	05/30/2023

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