Active NPI
Lyceliz Hernandez
- Speech-Language Pathologist
- Barceloneta, PR
National Provider Identifier
1225530405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2039
- Practice address
- 66 Urb Catalana
Barceloneta, PR 00617-0061 - Phone
- (787) 915-3000
- NPI assigned
- Mar 5, 2018
- 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 | 2039 | PR | Primary |
Addresses
Primary practice location
66 Urb Catalana
Barceloneta, PR 00617-0061
Mailing address
PO Box 59
Moca, PR 00676
Phone (787) 392-9066
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 |
|---|---|---|---|
| 2039 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1225530405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-392-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 URB CATALANA",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "006170061",
"telephone_number": "787-915-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "LYCELIZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barceloneta, PR
- Health Transport
- Liliana Hernandez Gonzalez, PHD
- Miyanil Hernandez Melendez, O.T.L.
- Natalia De Los Angeles Hernandez Vicente
- Francheska Michel Hernandez, LND
- Nancy Hernandez, PARAMEDIC
- Horizon Primary Care Services LLC
- HSCC Group LLC
- Tayra V. Ilarraza, PHD.
- Instituto Gineco-Obstetrico de Barceloneta
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.