Luis F Riquelme, PH.D.,CCC-SLP,BRS-S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5600-1 Issued in NY

Practice address

30 Plaza W
Vosburgh Pavilion
Valhalla, NY 10595-1572

Phone

(914) 594-4912

Fax

(914) 594-4853

NPI assigned

May 30, 2012

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1093076630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SAW MILL RIVER RAOD-2ND FLOOR",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321533",
            "telephone_number": "888-633-0033",
            "fax_number": "914-593-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PLAZA W",
            "address_2": "VOSBURGH PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951572",
            "telephone_number": "914-594-4912",
            "fax_number": "914-594-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIQUELME",
        "first_name": "LUIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.,CCC-SLP,BRS-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "5600-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Richardson, PA
• Raven Richardson, MD
• Felipe Moreira Ridolfi
• Ginger Elizabeth Riebe, NPP
• Kelly Cahill Riestenberg, MD
• Hart Risdell, MD
• Jessica Lilian Ritchie, L.M.S.W.
• Maxine Elise Riter, MD
• David Ritz, DO
• Monica Lizbeth Rivera Cabrera, M.S, CNP

• Speech-Language Pathologist in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.