Individual provider Active NPI

Darien Gizela Rodriguez, SLP

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1104104694
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
993 Issued in PR
Practice address
Urb. Constancia
2553 Plazuela St.
Ponce, PR 00717-2228
Phone
(787) 396-6310
Fax
(787) 284-6335
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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 993 PR Primary

Addresses

Primary practice location

Urb. Constancia
2553 Plazuela St.
Ponce, PR 00717-2228

Mailing address

2553 Calle Plazuela
Consttancia
Ponce, PR 00717-2228
Phone (787) 396-6310

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

LicenseStateTypeSpecialty
993PRMDClinical Medical Laboratory

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1104104694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 CALLE PLAZUELA",
            "address_2": "CONSTTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172228",
            "telephone_number": "787-396-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. CONSTANCIA",
            "address_2": "2553 PLAZUELA ST.",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172228",
            "telephone_number": "787-396-6310",
            "fax_number": "787-284-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DARIEN",
        "middle_name": "GIZELA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "993",
            "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 Aug 1, 2011; 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.