Individual provider Active NPI

Jailene Martinez Correa

  • Speech-Language Pathologist
  • Hatillo, PR
National Provider Identifier
1043946148
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004359 Issued in PR
Practice address
Carr. 493 KM 0.9
Bo. Carrizales
Hatillo, PR 00659
Phone
(939) 273-7555
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 004359 PR Primary

Addresses

Primary practice location

Carr. 493 KM 0.9
Bo. Carrizales
Hatillo, PR 00659

Mailing address

Urb. Los Pinos
Calle Cipres Mejicano # 27
Arecibo, PR 00612
Phone (787) 405-4819

Other identifiers 1

IdentifierTypeStateIssuer
4881270OtherPRDRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL speechnplay@gmail.com Direct

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
004359PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1043946148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS PINOS",
            "address_2": "CALLE CIPRES MEJICANO # 27",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-405-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 493 KM 0.9",
            "address_2": "BO. CARRIZALES",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "939-273-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CORREA",
        "first_name": "JAILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4881270",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "speechnplay@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gmail",
            "address_1": "Carr. 493 km 0.9",
            "address_2": "Bo. Carrizales",
            "city": "Hatillo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.