NPIMap

Organization Active NPI

Lubilu Therapy Group, LLC

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1083044671
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1037 Issued in PR
Legal business name
LUBILU THERAPY GROUP, LLC
Practice address
4601 Calle Miguel Pou
Sector Reparto Villa Alegre Carr 132 KM. 22.7
Ponce, PR 00728
Phone
(787) 598-0323
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Daisy E Costas Vargas
Title
Speech-Language Pathologist
Phone
(787) 598-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1037 PR Primary

Addresses

Primary practice location

4601 Calle Miguel Pou
Sector Reparto Villa Alegre Carr 132 KM. 22.7
Ponce, PR 00728

Mailing address

Calle 4 F7
Urbanizacion El Madrigal
Ponce, PR 00730-1417
Phone (787) 598-0323

National Provider Directory

National Provider Directory

Locations

2972 Ave Emilio Fagot
Ponce, PR 00716
Phone (787) 598-0323

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": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1083044671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 4 F7",
            "address_2": "URBANIZACION EL MADRIGAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301417",
            "telephone_number": "787-598-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CALLE MIGUEL POU",
            "address_2": "SECTOR REPARTO VILLA ALEGRE CARR 132 KM. 22.7",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-598-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBILU THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "COSTAS VARGAS",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "787-598-0323"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.