Active NPI
Yeseidi L Fuentes Gonzalez
- Speech-Language Pathologist
- Laredo, TX
National Provider Identifier
1053025825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP6935
- Practice address
- 1504 Ocaso Dr
Laredo, TX 78045-4252 - Phone
- (939) 249-2149
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP6935 | NM | Primary |
Addresses
Primary practice location
1504 Ocaso Dr
Laredo, TX 78045-4252
Mailing address
1504 Ocaso Dr
Laredo, TX 78045-4252
Phone (939) 249-2149
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 |
|---|---|---|---|
| SLP6935 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1053025825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 OCASO DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780454252",
"telephone_number": "939-249-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 OCASO DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780454252",
"telephone_number": "939-249-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES GONZALEZ",
"first_name": "YESEIDI",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLP6935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
- Friendly Care Primary Services LLC
- Frontera Medivan Transportation LLC
- Frontier Medical Distributors LLC
- Frontier Medicine PLLC (Frontier Medicine)
- Jessica Lorraine Fructuoso, ASSISTANT SLP
- Elizabeth Fuentes Torres, RN
- Carlos Alberto Fuentes, R.PH., ABOC
- Elsa G. Fuentes, R.PH.
- Nimol Fuller
- Funtastic Kids Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.