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Isabel Cristina Lopera-Sarria

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

6754 80th St, Middle Village, NY 11379-2926

PECOS Enrollment

Based on the most recent information from CMS, provider Isabel Cristina Lopera-Sarria does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1205102779
Provider Type
Individual
Full Name
Lopera-Sarria, Isabel Cristina
Title
Ms.
Credential
OTR/L

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/28/2012
Last Updated
3/28/2012

Contact Information

Practice Location

6754 80th St, Middle Village, NY 11379-2926

(718) 326-8243

Unlisted Fax

Mailing Location

6633 Clinton Ave, Maspeth, NY 11378-1631

(347) 531-9527

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225XP0200X Primary	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 012057-1 New York

Provider Identifiers

ID	Description	Issuer
ID 0555130	Description Medicaid	Issuer Unlisted New York

Isabel Cristina Lopera-Sarria

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

D'Ambrosio, Rachel A

Dekhkanova, Tamara

Fernandez, Maria

Tyroler, Einat

Manning, Cynthia

Van Aken, David Nicholas

Layliev, Eleanor

Zeltmann, Kathleen Anne