Individual provider Active NPI

Maura P Rodriguez Ruiz, SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1013219294
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
870 Issued in PR
Practice address
De Diego Ave.
2 Res. San Fernando, Apt. 42
San Juan, PR 00927-5801
Phone
(787) 642-0069
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 870 PR Primary

Addresses

Primary practice location

De Diego Ave.
2 Res. San Fernando, Apt. 42
San Juan, PR 00927-5801

Mailing address

De Diego Ave.
2 Res. San Fernando, Apt. 42
San Juan, PR 00927-5801
Phone (787) 642-0069

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
870PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1013219294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DE DIEGO AVE.",
            "address_2": "2 RES. SAN FERNANDO, APT. 42",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275801",
            "telephone_number": "787-642-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DE DIEGO AVE.",
            "address_2": "2 RES. SAN FERNANDO, APT. 42",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275801",
            "telephone_number": "787-642-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RUIZ",
        "first_name": "MAURA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.