Individual provider Active NPI

Soraliz M Roldan Medina

  • Speech-Language Assistant
  • Aguadilla, PR
National Provider Identifier
1265112619
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
7224 Issued in PR
Practice address
Urb. Esteves Calle Karite 8017
Aguadilla, PR 00603-7309
Phone
(787) 245-6870
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X 7224 PR Primary

Addresses

Primary practice location

Urb. Esteves Calle Karite 8017
Aguadilla, PR 00603-7309

Mailing address

Urb. Esteves Calle Karite 8017
Aguadilla, PR 00603-7309
Phone (787) 245-6870

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
7224PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1265112619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ESTEVES CALLE KARITE 8017",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006037309",
            "telephone_number": "787-245-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ESTEVES CALLE KARITE 8017",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006037309",
            "telephone_number": "787-245-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN MEDINA",
        "first_name": "SORALIZ",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "7224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.