Active NPI
Ayra Sujei Maldonado, M.S., SLP
- Speech-Language Pathologist
- Pharr, TX
National Provider Identifier
1306129671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 107155
- Practice address
- 200 S Cage Blvd
Suite C
Pharr, TX 78577-4844 - Phone
- (956) 702-8480
- Fax
- (956) 702-8883
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107155 | TX | MD | Speech-Language Pathologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 107155 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 S Cage Blvd
Suite C
Pharr, TX 78577-4844
Mailing address
200 S Cage Blvd
Suite C
Pharr, TX 78577-4844
Phone (956) 702-8480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2012.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1306129671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S CAGE BLVD",
"address_2": "SUITE C",
"city": "PHARR",
"state": "TX",
"postal_code": "785774844",
"telephone_number": "956-702-8480",
"fax_number": "956-702-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S CAGE BLVD",
"address_2": "SUITE C",
"city": "PHARR",
"state": "TX",
"postal_code": "785774844",
"telephone_number": "956-702-8480",
"fax_number": "956-702-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "AYRA",
"middle_name": "SUJEI",
"credential": "M.S., SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "107155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.