Active NPI
Johanna Amador
- Speech-Language Pathologist
- Hatillo, PR
National Provider Identifier
1356682934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1360
- Practice address
- 191 Carretera #2 Hatillo, PR 00659
Hatillo, PR 00659 - Phone
- (787) 817-0597
- NPI assigned
- Mar 7, 2013
- Last updated
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1360 | PR | Primary |
Addresses
Primary practice location
191 Carretera #2 Hatillo, PR 00659
Hatillo, PR 00659
Mailing address
191 Carr.#2
Hatillo, PR 00659
Phone (787) 817-0597
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1360 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1356682934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 CARR.#2",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-817-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 CARRETERA #2 HATILLO, PR 00659",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-817-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "JOHANNA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.