Individual provider Active NPI

Maria del Mar Rivera Echeandia, M.S., CCC-SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1053078535
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4222 Issued in PR
Practice address
1735 Carr 844
San Juan, PR 00926-4446
Phone
(787) 647-1266
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 4222 PR Primary

Addresses

Primary practice location

1735 Carr 844
San Juan, PR 00926-4446

Mailing address

1492 Calle Atun
Carolina, PR 00983-1444
Phone (787) 380-5781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411003387 PR Practitioner - Qualified Speech Language Pathologist 0941724819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cupey Therapy Group Speech-Language Pathologist CurrentSince Mar 25, 2025 Accepting new patients

Locations

1735 Carr 844
San Juan, PR 00926
Phone (787) 647-1266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1053078535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 CALLE ATUN",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831444",
            "telephone_number": "787-380-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 CARR 844",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264446",
            "telephone_number": "787-647-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ECHEANDIA",
        "first_name": "MARIA DEL MAR",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4222",
            "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 Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.