Individual provider Active NPI

Yashaira M Pacheco Rodriguez, PHL

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1326659061
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4081 Issued in PR
Practice address
359 Ave de Diego Ste 601
San Juan, PR 00909-1740
Phone
(787) 723-6868
NPI assigned
Aug 16, 2020
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 4081 PR Primary

Addresses

Primary practice location

359 Ave de Diego Ste 601
San Juan, PR 00909-1740

Mailing address

53 Calle California
Ponce, PR 00730-3594
Phone (787) 974-6256

Other practice location 1

907 Calle Munoz Rivera
Penuelas, PR 00624-1401
Phone (787) 974-6256

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

State licenses

LicenseStateTypeSpecialty
4081PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Option Specialty Pharmacy, LLC PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1326659061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CALLE CALIFORNIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303594",
            "telephone_number": "787-974-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 AVE DE DIEGO STE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091740",
            "telephone_number": "787-723-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 CALLE MUNOZ RIVERA",
            "address_purpose": "LOCATION",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006241401",
            "country_code": "US",
            "telephone_number": "787-974-6256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO RODRIGUEZ",
        "first_name": "YASHAIRA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.