Organization Active NPI

Centro de Estimulacion Integral

  • Speech-Language Pathologist
National Provider Identifier
1194020362
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CENTRO DE ESTIMULACION INTEGRAL
Practice address
Avenida Nogal T58
Lomas Verdes
Bayamon, PUERTO RICO 00960
UM
Phone
(787) 405-2933
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Doryliz Vila
Title
President Board
Phone
(787) 405-2933

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X

Addresses

Primary practice location

Avenida Nogal T58
Lomas Verdes
Bayamon, PUERTO RICO 00960
UM

Mailing address

Avenida Nogal T58
Lomas Verdes
Bayamon, PUERTO RICO 00960
UM
Phone (787) 405-2933

National Provider Directory

National Provider Directory

Locations

T58 Ave Nogal
Bayamon, PR 00956
Phone (787) 405-2933

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1194020362",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "AVENIDA NOGAL T58",
            "address_2": "LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00960",
            "telephone_number": "787-405-2933"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "AVENIDA NOGAL T58",
            "address_2": "LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00960",
            "telephone_number": "787-405-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE ESTIMULACION INTEGRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "DORYLIZ",
        "authorized_official_title_or_position": "PRESIDENT BOARD",
        "authorized_official_telephone_number": "787-405-2933"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.