Individual provider Active NPI

Laura M Valdes Diaz, SLP

  • Speech-Language Pathologist
  • Trujillo Alto, PR
National Provider Identifier
1134986912
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4105 Issued in PR
Practice address
206 Calle Dr Fernandez
Trujillo Alto, PR 00976-5939
Phone
(787) 678-2808
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 4105 PR Primary

Addresses

Primary practice location

206 Calle Dr Fernandez
Trujillo Alto, PR 00976-5939

Mailing address

9639 Villa de Ciudad Jardin
Canovanas, PA 00729

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
4105PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Terapia Educativa En Accion Speech-Language Pathologist CurrentSince Mar 3, 2024 Accepting new patients

Locations

206 Calle Dr Fernandez
Trujillo Alto, PR 00976
Phone (787) 678-2808

Organizations & group practices 1

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1134986912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 VILLA DE CIUDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PA",
            "postal_code": "00729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CALLE DR FERNANDEZ",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009765939",
            "telephone_number": "787-678-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES DIAZ",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.