Individual provider Active NPI

Carlos Javier Hernandez-Bocachica, MS, SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1083940720
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
931 Issued in PR
Practice address
360 Calle Angel Buonomo Ste 102
San Juan, PR 00918-1372
Phone
(787) 773-6206
NPI assigned
Oct 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 931 PR Primary

Addresses

Primary practice location

360 Calle Angel Buonomo Ste 102
San Juan, PR 00918-1372

Mailing address

PO Box 70344
PMB 210
San Juan, PR 00936-8344
Phone (787) 813-5937

Other practice location 1

150 Calle Federico Costa
San Juan, PR 00918-1339
Phone (787) 759-2000

Other practice location 2

Ave Teniente Cesar Gonzalez Final Esquina Juan Calaf
Urbanizacion Industrial Tres Monjitas, Hato Rey
San Juan, PR 00917
Phone (787) 777-8100

Other identifiers 1

IdentifierTypeStateIssuer
931-PHLOtherPRBOARD OF SPEECH-LANGUAGE PATHOLOGISTS, AUDIOLOGISTS AND SPEECH THERAPISTS

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
931PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1083940720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-813-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CALLE ANGEL BUONOMO STE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181372",
            "telephone_number": "787-773-6206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Calle Federico Costa",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009181339",
            "country_code": "US",
            "telephone_number": "787-759-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ave Teniente Cesar Gonzalez Final Esquina Juan Calaf",
            "address_2": "Urbanizacion Industrial Tres Monjitas, Hato Rey",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-777-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-BOCACHICA",
        "first_name": "CARLOS JAVIER",
        "name_prefix": "Prof.",
        "credential": "MS, SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SPEECH-LANGUAGE PATHOLOGISTS, AUDIOLOGISTS AND SPEECH THERAPISTS",
            "identifier": "931-PHL",
            "state": "PR"
        }
    ],
    "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 Jun 29, 2023; 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.