Active NPI
Elisa I Valentin
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1063771467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1081
- Practice address
- 11 Calle Ponce
Urb Perez Morris
San Juan, PR 00917-5004 - Phone
- (787) 201-5364
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1081 | PR | Primary |
Addresses
Primary practice location
11 Calle Ponce
Urb Perez Morris
San Juan, PR 00917-5004
Mailing address
1075 Calle Alonso de Ojeda
Palacios de Marbella
Toa Alta, PR 00953-5215
Phone (787) 636-3438
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 |
|---|---|---|---|
| 1081 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1063771467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 CALLE ALONSO DE OJEDA",
"address_2": "PALACIOS DE MARBELLA",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009535215",
"telephone_number": "787-636-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CALLE PONCE",
"address_2": "URB PEREZ MORRIS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175004",
"telephone_number": "787-201-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN",
"first_name": "ELISA",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1081",
"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 May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.