Individual provider Active NPI

Ileana Solla, B.S. MPH

  • Speech-Language Assistant
  • Bayamon, PR
National Provider Identifier
1306054689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
543 Issued in PR
Practice address
87 Ave Cementerio Nacional
Bo. Hato Tejas
Bayamon, PR 00961-3801
Phone
(787) 485-0300
Fax
(787) 270-5091
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

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 Assistant 2355S0801X 543 PR Primary

Addresses

Primary practice location

87 Ave Cementerio Nacional
Bo. Hato Tejas
Bayamon, PR 00961-3801

Mailing address

87 Ave Cementerio Nacional
Bo. Hato Tejas
Bayamon, PR 00961-3801
Phone (787) 485-0300

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
543PRMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306054689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 AVE CEMENTERIO NACIONAL",
            "address_2": "BO. HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613801",
            "telephone_number": "787-485-0300",
            "fax_number": "787-270-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 AVE CEMENTERIO NACIONAL",
            "address_2": "BO. HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613801",
            "telephone_number": "787-485-0300",
            "fax_number": "787-270-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLA",
        "first_name": "ILEANA",
        "credential": "B.S. MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

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.