Individual provider Active NPI

Isis Sandoval Colon

  • Speech-Language Assistant
  • Dorado, PR
National Provider Identifier
1003362096
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
1266 Issued in PR
Practice address
560 Calle Flamenco
Urb Los Montes
Dorado, PR 00646
Phone
(787) 324-4497
Fax
(787) 796-1631
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 1266 PR Primary

Addresses

Primary practice location

560 Calle Flamenco
Urb Los Montes
Dorado, PR 00646

Mailing address

560 Calle Flamenco
Urb Los Montes
Dorado, PR 00646
Phone (787) 324-4497

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1266PRMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adm Therapy Clinis Speech-Language Assistant CurrentSince Jul 3, 2022 Accepting new patients
Adm Therapy LLC Speech-Language Assistant CurrentSince Oct 27, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1003362096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CALLE FLAMENCO",
            "address_2": "URB LOS MONTES",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-324-4497",
            "fax_number": "787-796-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CALLE FLAMENCO",
            "address_2": "URB LOS MONTES",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-324-4497",
            "fax_number": "787-796-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL COLON",
        "first_name": "ISIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.