Organization Active NPI

Centro de Patologia del Habla Y Desarrollo Integral LLC

  • Speech-Language Pathologist
  • Cayey, PR
National Provider Identifier
1053827741
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1420 Issued in PR
Legal business name
CENTRO DE PATOLOGIA DEL HABLA Y DESARROLLO INTEGRAL LLC
Practice address
J3 Calle 1
Urb Jardines I
Cayey, PR 00736
Phone
(787) 384-6019
Fax
(787) 384-6019
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Maricelis Rosario
Title
SLP
Phone
(787) 384-6019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1420 PR Primary

Addresses

Primary practice location

J3 Calle 1
Urb Jardines I
Cayey, PR 00736

Mailing address

PO Box 1484
Cidra, PR 00739-1484
Phone (787) 384-6019

Other identifiers 1

IdentifierTypeStateIssuer
1457693095OtherPRMARICELIS ROSARIO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1053827741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391484",
            "telephone_number": "787-384-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J3 CALLE 1",
            "address_2": "URB JARDINES I",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-384-6019",
            "fax_number": "787-384-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PATOLOGIA DEL HABLA Y DESARROLLO INTEGRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "MARICELIS",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "787-384-6019"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARICELIS ROSARIO",
            "identifier": "1457693095",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.