Individual provider Active NPI

Juliana I Correa Vazquez

  • Audiology Assistant
  • Guayama, PR
National Provider Identifier
1174040778
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
License
1011 Issued in PR
Practice address
El Molino Shopping Center
Local 1111, PR 54
Guayama, PR 00784
Phone
(787) 864-3688
Fax
(787) 491-0286
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology Assistant 2355A2700X 1011 PR Primary

Addresses

Primary practice location

El Molino Shopping Center
Local 1111, PR 54
Guayama, PR 00784

Mailing address

PO Box 193069
San Juan, PR 00919-3069
Phone (787) 761-0036

Other practice location 1

Carr Num. 2 Int. Ave. Hostos
Plazoleta Ponce By Pass, Suite 202
Ponce, PR 00716
Phone (787) 290-4233

Other practice location 2

Local 10 A Carr Num. 1 KM 59 6
Bo Montellanos
Cayey, PR 00736
Phone (787) 738-3688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190628000173 PR Practitioner - Qualified Audiologist 0446584700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Hearing Center IncGroup PAC ID 2769650274, 37 clinicians

Practice addresses (Care Compare)

El Molino Shopping Ctr
Local 1111 PR 54
Guayama, PR 00784
Phone (787) 864-3688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1011PRMDSpeech-Language Pathologist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1174040778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193069",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193069",
            "telephone_number": "787-761-0036",
            "fax_number": "787-292-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EL MOLINO SHOPPING CENTER",
            "address_2": "LOCAL 1111, PR 54",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-3688",
            "fax_number": "787-491-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr Num. 2 Int. Ave. Hostos",
            "address_2": "Plazoleta Ponce By Pass, Suite 202",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "787-290-4233",
            "fax_number": "787-491-0286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Local 10 A Carr Num. 1 KM 59 6",
            "address_2": "Bo Montellanos",
            "address_purpose": "LOCATION",
            "city": "Cayey",
            "state": "PR",
            "postal_code": "00736",
            "country_code": "US",
            "telephone_number": "787-738-3688",
            "fax_number": "787-491-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA VAZQUEZ",
        "first_name": "JULIANA",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "PR",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.