Individual provider Active NPI

Itzel I Rodriguez

  • Speech-Language Pathologist
  • Guaynabo, PR
National Provider Identifier
1154996304
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4289 Issued in PR
Practice address
J6 Ave San Patricio Apt 10C
Guaynabo, PR 00968-4423
Phone
(787) 951-1045
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 4289 PR Primary

Addresses

Primary practice location

J6 Ave San Patricio Apt 10C
Guaynabo, PR 00968-4423

Mailing address

J6 Ave San Patricio Apt 10C
Guaynabo, PR 00968-4423
Phone (787) 951-1045

Other names 1

  • Itzel I Rodriguez Professional name

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

State licenses

LicenseStateTypeSpecialty
4289PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1154996304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J6 AVE SAN PATRICIO APT 10C",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009684423",
            "telephone_number": "787-951-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J6 AVE SAN PATRICIO APT 10C",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009684423",
            "telephone_number": "787-951-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ITZEL",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ITZEL",
            "last_name": "RODRIGUEZ",
            "middle_name": "I",
            "credential": "MS SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.