Organization Active NPI

Innova Therapy Services

  • Speech-Language Pathologist
  • Arecibo, PR
National Provider Identifier
1053700146
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1461 Issued in PR
Legal business name
INNOVA THERAPY SERVICES
Practice address
156 Calle Roses Artau
Arecibo, PR 00612-3926
Phone
(787) 306-1898
NPI assigned
Jan 13, 2015
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Ms. Zomarie Allende, M.S, SLPNPI 1467898841
Title
Speech Language Pathology
Phone
(787) 356-3047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1461 PR Primary

Addresses

Primary practice location

156 Calle Roses Artau
Arecibo, PR 00612-3926

Mailing address

#600 Cond. Parque Loyola
Apt 503
San Juan, PR 00918

Other practice location 1

55 Calle Palma
Metropolitan Office Building
Arecibo, PR 00612-4526
Phone (787) 306-1898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323001792 PR Part B Supplier - Clinic/Group Practice 8729385414 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1053700146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#600 COND. PARQUE LOYOLA",
            "address_2": "APT 503",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CALLE ROSES ARTAU",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123926",
            "telephone_number": "787-306-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 CALLE PALMA",
            "address_2": "METROPOLITAN OFFICE BUILDING",
            "address_purpose": "LOCATION",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124526",
            "country_code": "US",
            "telephone_number": "787-306-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ALLENDE",
        "authorized_official_first_name": "ZOMARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGY",
        "authorized_official_telephone_number": "787-356-3047",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.