Carmen Mercedes Tatis de Leon, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1000 Issued in PR

Practice address

Calle 6 D-8
Urb Villas del Sol
Trujillo Alto, PR 00976-4704

Phone

(787) 467-2760

NPI assigned

Jan 8, 2011

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

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vimar Therapy Group Inc

  • Clinic/Center
  • Carolina, PR
  • NPI 1891841862
  Medicare reassignment

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1316241128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 6 D-8",
            "address_2": "URB. VILLAS DEL SOL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009764704",
            "telephone_number": "787-467-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 6 D-8",
            "address_2": "URB VILLAS DEL SOL",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009764704",
            "telephone_number": "787-467-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATIS DE LEON",
        "first_name": "CARMEN",
        "middle_name": "MERCEDES",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Episcopal Church Home Care Program
• Strategy LD Lab, LLC
• Adriana Maria Suarez
• Denysse E Talavera, M.D.
• Miguel A Talavera, M.D.
• Tato'S Saving Lives Ambulance Services Inc.
• Everedith Y Tavarez, RPH
• Carmen Ydercis Tejada Garcia, M.D.
• Terapia Educativa En Accion
• Alianis Fabiola Tirado

• Speech-Language Pathologist in Trujillo Alto, PR
• Providers in Trujillo Alto, 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 May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.