Individual provider Active NPI

Jessica Del Mar Natal Vazquez

  • Speech-Language Assistant
  • Manati, PR
National Provider Identifier
1265048789
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
7026 Issued in PR
Practice address
Apartamentos Mar Chiquita
Int Carr 685 KM 5.0 Apt #10
Manati, PR 00674-0067
Phone
(787) 903-6424
NPI assigned
Sep 21, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 7026 PR Primary

Addresses

Primary practice location

Apartamentos Mar Chiquita
Int Carr 685 KM 5.0 Apt #10
Manati, PR 00674-0067

Mailing address

PO Box 1353
Manati, PR 00674-1353
Phone (787) 903-6424

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

LicenseStateTypeSpecialty
7026PRMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1265048789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1353",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741353",
            "telephone_number": "787-903-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APARTAMENTOS MAR CHIQUITA",
            "address_2": "INT CARR 685 KM 5.0 APT #10",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740067",
            "telephone_number": "787-903-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATAL VAZQUEZ",
        "first_name": "JESSICA",
        "middle_name": "DEL MAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "7026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.