Active NPI
Grelaine Rodriguez, PHL
- Speech-Language Pathologist
- Boqueron, PR
National Provider Identifier
1215202080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2062
- Practice address
- HC 1 Box 1635
Boqueron, PR 00622-9619 - Phone
- (787) 380-7330
- NPI assigned
- Mar 13, 2012
- 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 | 2062 | PR | Primary |
Addresses
Primary practice location
HC 1 Box 1635
Boqueron, PR 00622-9619
Mailing address
HC-1 Box 1635
Boqueron, PUERTO RICO 00622
UM
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 |
|---|---|---|---|
| 2062 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1215202080",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "HC-1 BOX 1635",
"city": "BOQUERON",
"state": "PUERTO RICO",
"postal_code": "00622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 1 BOX 1635",
"city": "BOQUERON",
"state": "PR",
"postal_code": "006229619",
"telephone_number": "787-380-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GRELAINE",
"name_prefix": "Mrs.",
"credential": "PHL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "2062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boqueron, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.