NPIMap

Organization Active NPI

Abrazo de Angel Therapy Group

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1144664897
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4845804 Issued in PR
Legal business name
ABRAZO DE ANGEL THERAPY GROUP
Practice address
Calle Bori 1528
Local 'a'
San Juan, PR 00927-6116
Phone
(787) 946-9995
NPI assigned
Apr 24, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maranyeliz Ivette Olivera, OTANPI 1225460918
Title
Co- Owner
Phone
(787) 946-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Speech-Language Pathologist 235Z00000X 4845804 PR Primary

Addresses

Primary practice location

Calle Bori 1528
Local 'a'
San Juan, PR 00927-6116

Mailing address

Calle Bori 1528 (Marginal Carr. PR-1)
San Juan, PR 00927-6116
Phone (787) 946-9995

Other identifiers 1

IdentifierTypeStateIssuer
4359634MedicaidPR

National Provider Directory

National Provider Directory

Locations

1528 Calle Bori
San Juan, PR 00927
Phone (787) 946-9995

1528 Calle Bori
Ste A
San Juan, PR 00927
Phone (787) 946-9995

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1144664897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BORI 1528 (MARGINAL CARR. PR-1)",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276116",
            "telephone_number": "787-946-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BORI 1528",
            "address_2": "LOCAL 'A'",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276116",
            "telephone_number": "787-946-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAZO DE ANGEL THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "MARANYELIZ",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "787-946-9995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4845804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4359634",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.