Individual provider Active NPI

Wanda I Abac Vega

  • Speech-Language Pathologist
  • Cayey, PR
National Provider Identifier
1205960580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
Caribbean Cinema Building 2ND Floor
Suite 206 Plaza Cayey Shopping Center
Cayey, PR 00736
Phone
(787) 738-3269
Fax
(787) 738-3269
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PR Primary

Addresses

Primary practice location

Caribbean Cinema Building 2ND Floor
Suite 206 Plaza Cayey Shopping Center
Cayey, PR 00736

Mailing address

PO Box 373184
Cayey, PR 00737-3184
Phone (787) 738-3269

Other names 1

  • Dr. Guillermo Torres Professional name

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
660680025PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205960580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373184",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007373184",
            "telephone_number": "787-738-3269",
            "fax_number": "787-738-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBBEAN CINEMA BUILDING 2ND FLOOR",
            "address_2": "SUITE 206 PLAZA CAYEY SHOPPING CENTER",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-3269",
            "fax_number": "787-738-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAC VEGA",
        "first_name": "WANDA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUILLERMO",
            "last_name": "TORRES",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.