Active NPI
Darien Gizela Rodriguez, SLP
- Speech-Language Pathologist
- Ponce, PR
National Provider Identifier
1104104694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 993
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 993 | PR | MD | Clinical 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.