Provider Demographics
NPI:1376428748
Name:MOJICA ORTIZ, NERILYN (ATO)
Entity type:Individual
Prefix:MRS
First Name:NERILYN
Middle Name:
Last Name:MOJICA ORTIZ
Suffix:
Gender:F
Credentials:ATO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. OLYMPIC VILLE 116 CALLE AMSTERDAM A9
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9684
Mailing Address - Country:US
Mailing Address - Phone:787-479-1531
Mailing Address - Fax:
Practice Address - Street 1:URB.OLYMPIC VILLE 116 CALLE AMSTERDAM A-9
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-9684
Practice Address - Country:US
Practice Address - Phone:787-479-1531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR629224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant