Individual provider Active NPI

Ayra Sujei Maldonado, M.S., SLP

  • Speech-Language Pathologist
  • Pharr, TX
National Provider Identifier
1306129671
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107155 Issued in TX
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
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 107155 TX Primary

Addresses

Primary 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

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

LicenseStateTypeSpecialty
107155TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.