Active NPI
Glorysabel Castaneda-del Toro
- Speech-Language Pathologist
- Ponce, PR
National Provider Identifier
1114542123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2098
- Practice address
- 5491 Calle Surco
Ponce, PR 00728-2442 - Phone
- (787) 400-7025
- NPI assigned
- Jun 15, 2020
- 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 | 2098 | PR | Primary |
Addresses
Primary practice location
5491 Calle Surco
Ponce, PR 00728-2442
Mailing address
5491 Calle Surco
Ponce, PR 00728-2442
Phone (787) 400-7025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098 | Other | PR | OTHER |
| 2098 | Medicaid | PR |
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 |
|---|---|---|---|
| 2098 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1114542123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5491 CALLE SURCO",
"city": "PONCE",
"state": "PR",
"postal_code": "007282442",
"telephone_number": "787-400-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5491 CALLE SURCO",
"city": "PONCE",
"state": "PR",
"postal_code": "007282442",
"telephone_number": "787-400-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA-DEL TORO",
"first_name": "GLORYSABEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "2098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "2098",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098",
"state": "PR"
}
],
"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 Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.