Resilience Neuro Rehab & Wellness LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

RESILIENCE NEURO REHAB & WELLNESS LLC

Practice address

811 Calle Guatemala
San Juan, PR 00921-2308

Phone

(787) 359-8225

NPI assigned

May 14, 2025

Last updated

May 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Migdelys Camacho Jimenez, SLPNPI 1912630955

Title

Owner

Phone

(787) 359-8225

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Migdelys Camacho Jimenez, MS, SLP

  • Speech-Language Pathologist
  • San Juan, PR
  • NPI 1912630955
  NPD Authorized official

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747526400000",
    "number": "1033900428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CALLE GUATEMALA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212308",
            "telephone_number": "787-359-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CALLE GUATEMALA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212308",
            "telephone_number": "787-359-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE NEURO REHAB & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "CAMACHO JIMENEZ",
        "authorized_official_first_name": "MIGDELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-359-8225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; 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.