Brenda L Lopez-Rodriguez, PHL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

651 Issued in PR

Practice address

Ramal 199
Camino Los Baez- Sector Los Garcia
Guaynbo, PR 00969-1445

Phone

(787) 287-7030

Fax

(787) 287-4880

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306056197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDAS DE CARRAIZO",
            "address_2": "CALLE 5 H 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269143",
            "telephone_number": "939-969-2773",
            "fax_number": "787-748-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RAMAL 199",
            "address_2": "CAMINO LOS BAEZ- SECTOR LOS GARCIA",
            "city": "GUAYNBO",
            "state": "PR",
            "postal_code": "009691445",
            "telephone_number": "787-287-7030",
            "fax_number": "787-287-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-RODRIGUEZ",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "PHL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.