Individual provider Active NPI

Mariangel Calderon

  • Speech-Language Pathologist
  • Guaynabo, PR
National Provider Identifier
1114207446
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1084 Issued in PR
Practice address
140 Ave Las Cumbres Ste 208
Guaynabo, PR 00969-5527
Phone
(787) 782-1058
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 1084 PR Primary

Addresses

Primary practice location

140 Ave Las Cumbres Ste 208
Guaynabo, PR 00969-5527

Mailing address

PO Box 3851
Guaynabo, PR 00970-3851
Phone (787) 487-4066

Other practice location 1

824 Ave San Patricio
Urb.Las Lomas
San Juan, PR 00921-1310
Phone (787) 487-4066

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
1084PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bless Therapy Place PSC CurrentSince Mar 20, 2022 Accepting new patients
Bless Therapy, LLC Speech-Language Pathologist Current Accepting new patients

Locations

140 Ave Las Cumbres
Ste 208
Guaynabo, PR 00969
Phone (787) 221-4446

824 Ave San Patricio
San Juan, PR 00921
Phone (787) 450-2329

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1114207446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3851",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703851",
            "telephone_number": "787-487-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES STE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695527",
            "telephone_number": "787-782-1058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 Ave San Patricio",
            "address_2": "Urb.Las Lomas",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009211310",
            "country_code": "US",
            "telephone_number": "787-487-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "MARIANGEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.