Iris M. Pedrogo, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0549 Issued in PR

Practice address

1731 Paseo Las Colonias
Urb.Constancia
Ponce, PR 00717-2234

Phone

(787) 647-1725

NPI assigned

Mar 26, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316065741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "address_2": "SUITE 98",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007696000",
            "telephone_number": "787-633-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 PASEO LAS COLONIAS",
            "address_2": "URB.CONSTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172234",
            "telephone_number": "787-647-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROGO",
        "first_name": "IRIS",
        "middle_name": "M.",
        "name_prefix": "Prof.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "0549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pax de Puerto Rico Inc.
• PCS Pharmacy Inc
• PDP Health Management, Inc.
• Pediatrix Medical Group, S.P.
• Pedro D Santiago Gutierrez
• Manuel Alberto Pellicier Mercucci, M.D.
• Fabianna Pellicier Rodriguez
• Karolina Isabel Pellot
• Tirso T Pena Cardenas
• Nelissa Pena Perez

• Speech-Language Pathologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• 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.