Individual provider Active NPI

Nadja Laura Medina Torres, M.S.-SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1356754634
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2086 Issued in PR
Practice address
759 Ave Avelino Vicente
San Juan, PR 00909-2538
Phone
(787) 303-9662
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 2086 PR Primary

Addresses

Primary practice location

759 Ave Avelino Vicente
San Juan, PR 00909-2538

Mailing address

PO Box 9744
San Juan, PR 00908-0744
Phone (787) 303-9662

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
2086PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1356754634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9744",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080744",
            "telephone_number": "787-303-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AVE AVELINO VICENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092538",
            "telephone_number": "787-303-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA TORRES",
        "first_name": "NADJA",
        "middle_name": "LAURA",
        "credential": "M.S.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "2086",
            "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 Jun 4, 2014; 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.