Active NPI
Sylvia Perez, SLP-INTERN
- Speech-Language Pathologist
- Laredo, TX
National Provider Identifier
1013355130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 108825
- Practice address
- 4609 San Dario Ave
Suite 9
Laredo, TX 78041-5773 - Phone
- (956) 723-6600
- Fax
- (956) 723-6614
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 108825 | TX | Primary |
Addresses
Primary practice location
4609 San Dario Ave
Suite 9
Laredo, TX 78041-5773
Mailing address
4609 San Dario Ave
Suite 9
Laredo, TX 78041-5773
Phone (956) 723-6600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108825 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laredo Kids Advanced Therapy Inc. | Past | Accepting new patients | |
| Laredo Kids Advanced Therapy | Past | 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.
-
- Home Health Agency
- Laredo, TX
- NPI 1083902076
-
- Rehabilitation Clinic/Center
- Laredo, TX
- NPI 1295076503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1013355130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 SAN DARIO AVE",
"address_2": "SUITE 9",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415773",
"telephone_number": "956-723-6600",
"fax_number": "956-723-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 SAN DARIO AVE",
"address_2": "SUITE 9",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415773",
"telephone_number": "956-723-6600",
"fax_number": "956-723-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SYLVIA",
"credential": "SLP-INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "108825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.