Angelica M Canabal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004519 Issued in PR

Practice address

Urb Perez Morris
#1 Calle Ponce
San Juan, PR 00957

Phone

(787) 677-1481

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1174330682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHALETS DE ROYAL PALM",
            "address_2": "EDIF 9 APT 907",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563027",
            "telephone_number": "787-677-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PEREZ MORRIS",
            "address_2": "#1 CALLE PONCE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-677-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANABAL",
        "first_name": "ANGELICA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "004519",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Campos, PHD
• Jessiemar Campos
• Miguel Campos
• Salvador Campos Sr.
• Claudia Camunas Perez, MD
• Elda Marie Canabal, MSA
• Dialma Iris Canales, M.D.
• Victoria J Canales, MSW
• Marta Isabel Canals, D.M.D.
• Ricardo M. Canals, MD

• Speech-Language Pathologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.