Kristina A De la Mata

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1825 Issued in PR

Practice address

22 Calle Gonzalez Giusti Ste 208
Guaynabo, PR 00968-3011

Phone

(787) 406-9322

NPI assigned

Oct 31, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1235483058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G2 CALLE 7",
            "address_2": "URBANIZACION EL MIRADOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267578",
            "telephone_number": "787-406-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE GONZALEZ GIUSTI STE 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683011",
            "telephone_number": "787-406-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA MATA",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer De Jesus Rivero
• Tiody De Jesus Rosa Ferre, MD
• Jose De Jesus Velez, 1245P
• Angel Y De Jesus-Saldana, CRNA
• Myriam De Jesus
• Norman Javier De la Rosa, M.D.
• Angel Josue De la Torre Gonzalez, M.S.
• Gloria J. De Leon, RPH.
• Miosotis De Leon, LIC
• Noel S De Leon, MD, FACS

• Speech-Language Pathologist in Guaynabo, PR
• Providers in Guaynabo, 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 Oct 31, 2012; 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.