Active NPI
Samary Carrasquillo, MS. SLP
- Speech-Language Pathologist
- Rio Grande, PR
National Provider Identifier
1376826263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 880
- Practice address
- 351 Calle Granada
Urb Los Arboles
Rio Grande, PR 00745-5355 - Phone
- (787) 556-0196
- NPI assigned
- Sep 27, 2011
- 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 | 880 | PR | Primary |
Addresses
Primary practice location
351 Calle Granada
Urb Los Arboles
Rio Grande, PR 00745-5355
Mailing address
3 E-33 Jardines de Canovanas
Canovanas, P.R. 00729
UM
Phone (787) 556-0196
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 880 | PR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1376826263",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3 E-33 JARDINES DE CANOVANAS",
"city": "CANOVANAS",
"state": "P.R.",
"postal_code": "00729",
"telephone_number": "787-556-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 CALLE GRANADA",
"address_2": "URB LOS ARBOLES",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007455355",
"telephone_number": "787-556-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASQUILLO",
"first_name": "SAMARY",
"credential": "MS. SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.