Individual provider Active NPI

Sara Luzines Gonzalez, MSSLP

  • Speech-Language Pathologist
  • Yauco, PR
National Provider Identifier
1154530558
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
593 Issued in PR
Practice address
34 Calle 25 de Julio
Esquina Pasarel
Yauco, PR 00698-3602
Phone
(787) 267-1226
Fax
(787) 267-1226
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 593 PR Primary

Addresses

Primary practice location

34 Calle 25 de Julio
Esquina Pasarel
Yauco, PR 00698-3602

Mailing address

PO Box 5004
PMB 193
Yauco, PR 00698-5004
Phone (787) 267-1226

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154530558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5004",
            "address_2": "PMB 193",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985004",
            "telephone_number": "787-267-1226",
            "fax_number": "787-267-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE 25 DE JULIO",
            "address_2": "ESQUINA PASAREL",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983602",
            "telephone_number": "787-267-1226",
            "fax_number": "787-267-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SARA",
        "middle_name": "LUZINES",
        "name_prefix": "Mrs.",
        "credential": "MSSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

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