Individual provider Active NPI

Caroline N Morales Santana

  • Speech-Language Pathologist
  • Camuy, PR
National Provider Identifier
1114507613
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004306 Issued in PR
Practice address
Avenida Munoz Rivera
Edificio 309 Bo. Puente
Camuy, PR 00627-0061
Phone
(787) 915-3000
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 004306 PR Primary

Addresses

Primary practice location

Avenida Munoz Rivera
Edificio 309 Bo. Puente
Camuy, PR 00627-0061

Mailing address

PO Box 347
Las Marias, PR 00670-0347
Phone (787) 519-1389

Other identifiers 1

IdentifierTypeStateIssuer
6235673OtherPRDRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119000332 PR Practitioner - Qualified Speech Language Pathologist 1658805072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004306PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc Single Specialty CurrentSince Oct 28, 2024 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1114507613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006700347",
            "telephone_number": "787-519-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA MUNOZ RIVERA",
            "address_2": "EDIFICIO 309 BO. PUENTE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270061",
            "telephone_number": "787-915-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES SANTANA",
        "first_name": "CAROLINE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "6235673",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.

Verify at the official NPI Registry.