Provider Demographics
NPI:1407227150
Name:ALBERTORIO, VILMARY
Entity Type:Individual
Prefix:MRS
First Name:VILMARY
Middle Name:
Last Name:ALBERTORIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 CALLE SUCRE
Mailing Address - Street 2:URB. LA PROVIDENCIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-1800
Mailing Address - Country:US
Mailing Address - Phone:787-444-5238
Mailing Address - Fax:
Practice Address - Street 1:2207 CALLE SUCRE
Practice Address - Street 2:URB. LA PROVIDENCIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-3138
Practice Address - Country:US
Practice Address - Phone:787-444-5238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PROTL/952225XH1300X, 225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman Factors
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation