Individual provider Active NPI

Migdalia Amara Perez, SLP

  • Speech-Language Pathologist
  • Guaynabo, PR
National Provider Identifier
1114934692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000163 Issued in PR
Practice address
Cond San Francisco Javier
50, San Jose St, 1005
Guaynabo, PR 00969-4738
Phone
(787) 764-1750
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000163 PR Primary

Addresses

Primary practice location

Cond San Francisco Javier
50, San Jose St, 1005
Guaynabo, PR 00969-4738

Mailing address

Cond San Francisco Javier
50, San Jose St, 1005
Guaynabo, PR 00969-4738
Phone (787) 764-1750

Other identifiers 1

IdentifierTypeStateIssuer
000163OtherPRSPEECH PATHOLOGY

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
000163PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114934692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND SAN FRANCISCO JAVIER",
            "address_2": "50, SAN JOSE ST, 1005",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694738",
            "telephone_number": "787-764-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND SAN FRANCISCO JAVIER",
            "address_2": "50, SAN JOSE ST, 1005",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694738",
            "telephone_number": "787-764-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MIGDALIA",
        "middle_name": "AMARA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "000163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGY",
            "identifier": "000163",
            "state": "PR"
        }
    ],
    "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 Jul 8, 2007; 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.