Individual provider Active NPI

Yamir Garcia Segarra

  • Speech-Language Pathologist
  • Caguas, PR
National Provider Identifier
1164795985
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
822 Issued in PR
Practice address
30 Calle Padial Ste 206
Caguas, PR 00725-3841
Phone
(787) 513-8492
NPI assigned
Feb 10, 2012
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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 822 PR Primary

Addresses

Primary practice location

30 Calle Padial Ste 206
Caguas, PR 00725-3841

Mailing address

Calle Capuchino Borinquen Valley 2
Num 382
Caguas, PR 00725-9580
Phone (787) 513-8492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719001058 PR Practitioner - Qualified Speech Language Pathologist 3173925856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
822PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Lab Rehab Services, PSC Speech-Language Pathologist CurrentSince May 1, 2021 Accepting new patients
Advance Therapy Group PSC Speech-Language Pathologist Past Accepting new patients

Locations

30 Calle Padial
Ste 206
Caguas, PR 00725
Phone (787) 337-2010

Organizations & group practices 2

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": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1164795985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CAPUCHINO BORINQUEN VALLEY 2",
            "address_2": "NUM 382",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259580",
            "telephone_number": "787-513-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE PADIAL STE 206",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253841",
            "telephone_number": "787-513-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA SEGARRA",
        "first_name": "YAMIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2025-05-19",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.