Individual provider Active NPI

Patricia Enoe Doria-Rosas, MA, CCC-SLP

  • Speech-Language Pathologist
  • La Blanca, TX
National Provider Identifier
1245350420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17320 Issued in TX
Practice address
18360 FM 493
La Blanca Medical Ctr. Ste #3
La Blanca, TX 78558
Phone
(956) 262-1192
Fax
(956) 262-9226
NPI assigned
Mar 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17320 TX Primary

Addresses

Primary practice location

18360 FM 493
La Blanca Medical Ctr. Ste #3
La Blanca, TX 78558

Mailing address

1809 S Jackson Rd
Edinburg, TX 78539-6929
Phone (956) 387-0233

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17320TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valle de Trinidad, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245350420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396929",
            "telephone_number": "956-387-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 FM 493",
            "address_2": "LA BLANCA MEDICAL CTR. STE #3",
            "city": "LA BLANCA",
            "state": "TX",
            "postal_code": "78558",
            "telephone_number": "956-262-1192",
            "fax_number": "956-262-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIA-ROSAS",
        "first_name": "PATRICIA",
        "middle_name": "ENOE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Blanca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.