Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

908 Issued in PR

Practice address

Baralt Calle Marginal
A-49
Fajardo, PR 00738

Phone

(787) 692-2422

NPI assigned

Jul 14, 2009

Last updated

May 12, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Centro C.I.E.H.L.O.Inc.

  • Hearing and Speech Clinic/Center
  • NPI 1407106586

  PR

  Medicare reassignment NPD
• Centro Ciehlo Inc

  • Occupational Medicine Clinic/Center
  • Fajardo, PR
  • NPI 1366974396
  NPD

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1205065075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CASA BELLA",
            "address_2": "35 CALLE NAPOLES",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007182826",
            "telephone_number": "787-692-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARALT CALLE MARGINAL",
            "address_2": "A-49",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-692-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINERO RIVERA",
        "first_name": "IVELISSE",
        "credential": "MS,SLP,CCPLSVT,BOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L Perez, M.D.
• Zaida Perez, MD
• Carmen Maria Peterson
• Reynaldo Pezzotti Alvarez, M.D.
• Hector Efrain Pimentel
• Luis Enrique Pita, D.M.D.
• Danalys Pizarro Pagan
• PMC Marketing Corp (Farmacia El Amal # 66)
• Yanitzmarie Polanco Jordan, MS
• Vicamarie Pomales Pomales, RN

• Speech-Language Pathologist in Fajardo, PR
• Providers in Fajardo, 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 May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.