Berenice Pacheco Lopez

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

41646 Issued in TX

Practice address

2335 E Saunders St # 3
Laredo, TX 78041-5434

Phone

(956) 753-5600

NPI assigned

Oct 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mercy Rehab Services Inc.

  dba Mercy Kids Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
  • NPI 1508821406
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1003414350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 ARK CTS",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780464020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E SAUNDERS ST # 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415434",
            "telephone_number": "956-753-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO LOPEZ",
        "first_name": "BERENICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "41646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Oviedo, LPC
• Eddie Oviedo
• Jessie Elaine Owens, DO
• Barakat Oyenuga
• Kabir Oyenuga
• John Rodriguez Pacheco, L.P.C.
• Carlos A Padilla, PTA
• Carlos Abel Padilla Jr., PTA
• Hannah Padilla
• Homero Paez III

• Speech-Language Assistant in Laredo, TX
• Providers in Laredo, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.