Individual provider Active NPI

Maria del Mar De Jesus

  • Speech-Language Pathologist
  • Aibonito, PR
National Provider Identifier
1346639655
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4261 Issued in PR
Practice address
201 Ave Felix Rios
Aibonito, PR 00705-3556
Phone
(787) 203-8661
NPI assigned
Jan 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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 4261 PR Primary

Addresses

Primary practice location

201 Ave Felix Rios
Aibonito, PR 00705-3556

Mailing address

201 Ave Felix Rios
Aibonito, PR 00705-3556
Phone (787) 203-8661

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
4261PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edumar Therapy LLC. Speech-Language Pathologist CurrentSince May 25, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1346639655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AVE FELIX RIOS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053556",
            "telephone_number": "787-203-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVE FELIX RIOS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053556",
            "telephone_number": "787-203-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MARIA DEL MAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-10",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.