Active NPI
Mariangel Calderon
- Speech-Language Pathologist
- Guaynabo, PR
National Provider Identifier
1114207446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1084
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1084 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bless Therapy Place PSC | Current | 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.
-
- Hearing and Speech Clinic/Center
- Guaynabo, PR
- NPI 1992096291
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1235874694
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.