Joanmarie Berrios Marrero

Individual provider Active NPI Speech-Language Pathologist · San Juan, PR

NPI 1003219403 · NPPES record last updated Sep 30, 2014

Key facts

NPI
1003219403
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1321 (PR)
Practice address
1262 Ave Americo Miranda
San Juan, PR 00921-1620
Phone
(787) 238-2156
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1321PRMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1321 PR Yes

Addresses

Primary practice location

1262 Ave Americo Miranda
San Juan, PR 00921-1620

Mailing address

PO Box 1730
Morovis, PR 00687-1730
Phone (787) 238-2156

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2014.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1003219403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1730",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006871730",
            "telephone_number": "787-238-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 AVE AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211620",
            "telephone_number": "787-238-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS MARRERO",
        "first_name": "JOANMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

All providers in San Juan, PR · Speech-Language Pathologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.