Individual provider Active NPI

Raquel Collado-Guerrero, SPECIAL ED TEACHER

  • Specialist
  • New York, NY
National Provider Identifier
1174886444
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
675325 Issued in NY
Practice address
328 E 62ND St
New York, NY 10065-8206
Phone
(212) 752-7575
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 675325 NY Primary

Addresses

Primary practice location

328 E 62ND St
New York, NY 10065-8206

Mailing address

15710 Riverside Dr W Apt 4X
4X
New York, NY 10032-7035
Phone (347) 538-1571

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
675325NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Language Connections, Speech-Language Pathology, PLLC Current Accepting new patients

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1174886444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15710 RIVERSIDE DR W APT 4X",
            "address_2": "4X",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327035",
            "telephone_number": "347-538-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658206",
            "telephone_number": "212-752-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLADO-GUERRERO",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "SPECIAL ED TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "675325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.