Active NPI
Viviana Maria Hernandez, SLP
- Speech-Language Pathologist
- Toa Baja, PR
National Provider Identifier
1104468313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1049
- Practice address
- Urb El Naranjal Calle 1 F6
Toa Baja, PR 00949-0000 - Phone
- (787) 370-4532
- NPI assigned
- Oct 9, 2019
- 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 | 1049 | PR | Primary |
Addresses
Primary practice location
Urb El Naranjal Calle 1 F6
Toa Baja, PR 00949-0000
Mailing address
Urb El Naranjal Calle 1 F6
Toa Baja, PR 00949-0000
Phone (787) 370-4532
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4742618 | Other | DRIVER LICENSE | |
| 4742618 | Other | PR | DRIVER LICENSE |
| 4742618 | Other | PR | ERICEN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001049 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Terapia Pinceladas de Amor | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Bayamon, PR
- NPI 1326674193
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1104468313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB EL NARANJAL CALLE 1 F6",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009490000",
"telephone_number": "787-370-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB EL NARANJAL CALLE 1 F6",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009490000",
"telephone_number": "787-370-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "VIVIANA",
"middle_name": "MARIA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "4742618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "4742618",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ERICEN LICENSE",
"identifier": "4742618",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.