Active NPI
Coralys Velez Santos
- Speech-Language Pathologist
- Anasco, PR
National Provider Identifier
1205676301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4297
- Practice address
- Edificio Bianca, Carr. 2, KM 14.3
Suite 102
Anasco, PR 00610 - Phone
- (939) 439-4912
- NPI assigned
- May 28, 2024
- Last updated
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4297 | PR | Primary |
Addresses
Primary practice location
Edificio Bianca, Carr. 2, KM 14.3
Suite 102
Anasco, PR 00610
Mailing address
PO Box 1323
Rincon, PR 00677-1323
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4297 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1205676301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1323",
"city": "RINCON",
"state": "PR",
"postal_code": "006771323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO BIANCA, CARR. 2, KM 14.3",
"address_2": "SUITE 102",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "939-439-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ SANTOS",
"first_name": "CORALYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.