Sandra Aissa Mattos, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0003 Issued in PR

Practice address

202 B Santa Rosa Mall Ofic.
Bayamon, PR 00915-3418

Phone

(787) 780-6006

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1316490139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 CALLE WILLIAM JONES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153418",
            "telephone_number": "787-512-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 B SANTA ROSA MALL OFIC.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009153418",
            "telephone_number": "787-780-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOS",
        "first_name": "SANDRA",
        "middle_name": "AISSA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "0003",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "3",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFFICE OF REGULATION AND CERTIFICATION OF HELTH PROFFESIONALS",
            "identifier": "59573",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGIST LICENCE (ORCHP)",
            "identifier": "0003",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynes Matos, CNMT,PET
• Myrna Marie Matos
• Nayda Matos
• Nilsa Matos
• Priscilla Matos
• Mitchell Marasigan Matundan, M.D.
• Jose Amado Maymi Rivera, M.D.
• Patricia N Maymi-Castrodad, M.D.
• Tamara Maysonet, LMT
• Yarieli Maysonet

• Speech-Language Pathologist in Bayamon, PR
• Providers in Bayamon, 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 28, 2016; 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.