Guadalupe Jerez, SPECIAL EDUCATOR

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

444534041 Issued in NY

Practice address

369 E 148TH St Ste 200
Bronx, NY 10455-4041

Phone

(718) 769-2698

Fax

(718) 943-7035

NPI assigned

Jul 18, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1275888984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CRUGER AVE APT 2N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622333",
            "telephone_number": "917-613-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E 148TH ST STE 200",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554041",
            "telephone_number": "718-769-2698",
            "fax_number": "718-943-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREZ",
        "first_name": "GUADALUPE",
        "credential": "SPECIAL EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "444534041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngsik Jeong, L.AC
• Jeranjen LLC
• Ian Jeremiah, MSW
• Lianna Jocelyn Jeremie
• Leslie-Ann M Jerez Gaviria
• Miguel Andre Jerez, BA
• Yankeila Jerez, SLP-CCC, TSSLD
• Sonia Jermin, PSYCH REHAB WORKER
• Jerome Ave Pharmacy LLC.
• Jerome Medical Office, PC

• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.