Active NPI
Bianmarie Montosa Leon, THL
- Speech-Language Assistant
- Ponce, PR
National Provider Identifier
1356931034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 7406
- Practice address
- Carr. 123 Magueyes PR
Ponce, PR 00731 - Phone
- (787) 598-0323
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 7406 | PR | Primary |
Addresses
Primary practice location
Carr. 123 Magueyes PR
Ponce, PR 00731
Mailing address
HC 4 Box 8063
Villalba, PR 00766
Phone (787) 963-7924
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4994723 | Other | PR | LICENCIA |
| 4994723 | Medicaid | PR | |
| 7406 | Other | PR | PROFESIONAL LICENSE |
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 |
|---|---|---|---|
| 7406 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1356931034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 8063",
"city": "VILLALBA",
"state": "PR",
"postal_code": "00766",
"telephone_number": "787-963-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 123 MAGUEYES PR",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-598-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "BIANMARIE",
"middle_name": "MONTOSA",
"credential": "THL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "7406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA",
"identifier": "4994723",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4994723",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESIONAL LICENSE",
"identifier": "7406",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.