Individual provider Active NPI

Dagmar E Prieto, MS PHL

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1386805182
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
472 Issued in PR
Practice address
1136 Ave Americo Miranda
San Juan, PR 00921-2213
Phone
(787) 300-3840
Fax
(787) 758-9381
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 472 PR Primary

Addresses

Primary practice location

1136 Ave Americo Miranda
San Juan, PR 00921-2213

Mailing address

1136 Ave Americo Miranda
San Juan, PR 00921-2213
Phone (787) 300-3840

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1386805182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 AVE AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212213",
            "telephone_number": "787-300-3840",
            "fax_number": "787-758-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 AVE AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212213",
            "telephone_number": "787-300-3840",
            "fax_number": "787-758-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "DAGMAR",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS PHL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "472",
            "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 24, 2008; 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.