Nelly Marilis Santos

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

0041542 Issued in PR

Practice address

543 Calle Reinier
Jardines de Monaco III
Manati, PR 00674

Phone

(787) 362-2862

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1144757899",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB. MONACO III CALLE REINIER #543",
            "city": "MANATI",
            "state": "PUERTO RICO",
            "postal_code": "00674",
            "telephone_number": "787-362-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 CALLE REINIER",
            "address_2": "JARDINES DE MONACO III",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-362-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "NELLY",
        "middle_name": "MARILIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "0041542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "6453133",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEARN & GROW THERAPY GROUP",
            "identifier": "6453133",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dereck Norberto Santiago, CRNA
• Jacqueline Santiago, OTL
• Ricardo L Santiago, M.D.
• Susane Grisel Santos Marrero, MD
• Patricia Elizabeth Santos Tomanguilla, MD
• Jesus Boanerges Sarmiento, M.D.
• Saule Corp
• Zaira Serrano Garcia, PHYSICALL THERAPIST
• Ramon C Serrano-Medina, MD
• Alberto Carlos Serrano, 19316

• Speech-Language Assistant in Manati, PR
• Providers in Manati, PR by specialty
• Speech-Language Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.