Provider Demographics
NPI:1033134473
Name:BORRERO, HECTOR LUIS (OTR/L)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:LUIS
Last Name:BORRERO
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19034 STONE BRK
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8361
Mailing Address - Country:US
Mailing Address - Phone:407-765-3752
Mailing Address - Fax:
Practice Address - Street 1:19034 STONE BRK
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8361
Practice Address - Country:US
Practice Address - Phone:407-765-3752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3366225X00000X
NC6193225XE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist