Jackeline Perez Carrasquillo I, LICENCIADA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Urb. Villas de Trujillo Alto
Calle 2 Num 29 a
Trujillo Alto, PR 00976

Phone

(787) 513-4300

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica Fonomundi Corp

  • Speech-Language Pathologist
  • Carolina, PR
  • NPI 1437845021
  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1083257539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771105",
            "telephone_number": "787-513-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLAS DE TRUJILLO ALTO",
            "address_2": "CALLE 2 NUM 29 A",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-513-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CARRASQUILLO",
        "first_name": "JACKELINE",
        "name_suffix": "I",
        "credential": "LICENCIADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pekes En Desarrollo
• Pekes Therapy Zone Inc
• Maria Cristina Perales Velez
• Robert Peralta, M.A.
• Felix Pereira Diaz, M.D
• Janet Perez Chiesa, M.D.
• Lewis R Perez Gomez
• Perez- Betancourt Medical, P.S.C
• Aracelis Perez
• Awilda Perez

• Speech-Language Pathologist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.