Active NPI
Lushana M Rosario-de Leon
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1235563644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2022
- Practice address
- 1451 Ave Ashford
San Juan, PR 00907-1511 - Phone
- (787) 303-9662
- NPI assigned
- Aug 22, 2013
- 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 | 2022 | PR | Primary |
Addresses
Primary practice location
1451 Ave Ashford
San Juan, PR 00907-1511
Mailing address
PO Box 3665
Guaynabo, PR 00970-3665
Phone (787) 438-6170
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1235563644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3665",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009703665",
"telephone_number": "787-438-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 AVE ASHFORD",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071511",
"telephone_number": "787-303-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO-DE LEON",
"first_name": "LUSHANA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "2022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.