Provider Demographics
NPI:1902215635
Name:OCASIO, RUTH (OTR)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:OCASIO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CALLE MARIA
Mailing Address - Street 2:CIUDAD JARDIN 3
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4865
Mailing Address - Country:US
Mailing Address - Phone:787-536-6934
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE MARIA
Practice Address - Street 2:CIUDAD JARDIN 3
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-4865
Practice Address - Country:US
Practice Address - Phone:787-536-6934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR329225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics