Iris B Manosa Santiago

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

664 Issued in PR

Practice address

60 Ave Ponce de Leon
Suite 214
San Juan, PR 00917

Phone

(787) 503-5121

NPI assigned

Aug 22, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1225285174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLVD DE LA MONTANA",
            "address_2": "APARTADO 464",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267106",
            "telephone_number": "787-449-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 AVE PONCE DE LEON",
            "address_2": "SUITE 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-503-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOSA SANTIAGO",
        "first_name": "IRIS",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE IN SPEECH/LANGUAGE PATHOLOGY",
            "identifier": "664",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Mangual, DMD,MSD
• Jahaira Mangual, MSW
• Josue Cordero Mangual Sr., BSN
• Zaida E Mangual, MS
• Gwendolyn Mann
• Brian Manson, RN
• Manta Medical, Inc.
• Manta Salud, Inc.
• Claudia Mantaras-Ortiz, PHD
• Manuel Anguita Alvarado PSC

• Speech-Language Pathologist in San Juan, PR
• Providers in San Juan, 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 Jun 29, 2017; 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.