Individual provider Active NPI

Ismaly Lorenzo-Matias, AU.D.

  • Audiologist
  • Aguada, PR
National Provider Identifier
1154712263
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1024 Issued in PR
Practice address
1813 Bo Asomante
Aguada, PR 00602-2405
Phone
(305) 904-3649
NPI assigned
Feb 11, 2015
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY 1919 FL
Audiologist 231H00000X 1024 PR Primary

Addresses

Primary practice location

1813 Bo Asomante
Aguada, PR 00602-2405

Mailing address

1813 Bo Asomante
Aguada, PR 00602-2405
Phone (305) 904-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315000184 PR Practitioner - Qualified Audiologist 4486971082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94 Calle Colon
Aguada, PR 00602-3115
Phone (305) 904-3649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY 1919FLMDAudiologist
1024PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oimos PSC Audiologist CurrentSince Mar 1, 2023 Accepting new patients
Hearusa Inc PastSince Apr 1, 2015 Accepting new patients
Greater Miami Ear Associates LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1154712263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 BO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022405",
            "telephone_number": "305-904-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 BO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022405",
            "telephone_number": "305-904-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO-MATIAS",
        "first_name": "ISMALY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1919",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.