Ivonne Garcilazo, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114574 Issued in TX

Practice address

6232 Kings River LN
El Paso, TX 79932-1708

Phone

(915) 503-5977

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1194302380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 KINGS RIVER LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321708",
            "telephone_number": "915-525-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 KINGS RIVER LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321708",
            "telephone_number": "915-503-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCILAZO",
        "first_name": "IVONNE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Kaitlin Garcia, MA, LAT, ATC
• Viviana Garcia, AGACNP-BC
• Viviana Elena Garcia
• Yasmel Garcia, NP
• Yvonne Garcia, P.T.A.
• Aldo Gardea
• Danielle Andrea Gardea, M.S., LPC
• Dulce Flor Gardea
• Elyssa Gardea
• Jade Gardea

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.