Individual provider Active NPI

Nereida Velez Duran, M.S

  • Speech-Language Pathologist
  • Mayaguez, PR
National Provider Identifier
1154452340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
190 Issued in PR
Practice address
410 Ave Hostos
Suite 15
Mayaguez, PR 00682-1560
Phone
(787) 832-7355
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 190 PR Primary

Addresses

Primary practice location

410 Ave Hostos
Suite 15
Mayaguez, PR 00682-1560

Mailing address

22 Calle Serenidad
Paraiso de Mayaguez
Mayaguez, PR 00680-6201
Phone (787) 380-0589

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
190PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154452340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE SERENIDAD",
            "address_2": "PARAISO DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806201",
            "telephone_number": "787-380-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "address_2": "SUITE 15",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-832-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ DURAN",
        "first_name": "NEREIDA",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, 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.