Individual provider Active NPI

Veronica Rivera, PHL

  • Speech-Language Pathologist
  • Gurabo, PR
National Provider Identifier
1063071173
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
867 Issued in PR
Practice address
21 Los Paisajes
Gurabo, PR 00778
Phone
(939) 402-4486
Fax
(939) 402-4486
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 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 Pathologist 235Z00000X 867 PR Primary

Addresses

Primary practice location

21 Los Paisajes
Gurabo, PR 00778

Mailing address

21 Los Paisajes
Gurabo, PR 00778
Phone (939) 402-4486

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gurabo

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
867PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1063071173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOS PAISAJES",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "939-402-4486",
            "fax_number": "939-402-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOS PAISAJES",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "939-402-4486",
            "fax_number": "939-402-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VERONICA",
        "credential": "PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gurabo",
            "affiliation": "N",
            "address_1": "Los Paisajes 21",
            "city": "Gurabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.