Active NPI
Alice Santiago Marin
- Speech-Language Pathologist
- Caguas, PR
National Provider Identifier
1386969434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 921
- Practice address
- Aa1 Calle 27 Esquina Reina Isabel
Ave Bairoa
Caguas, PR 00726 - Phone
- (787) 645-0085
- NPI assigned
- Apr 1, 2010
- 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 Pathologist | 235Z00000X | 921 | PR | Primary |
Addresses
Primary practice location
Aa1 Calle 27 Esquina Reina Isabel
Ave Bairoa
Caguas, PR 00726
Mailing address
PO Box 4956
PMB 299
Caguas, PR 00726
Phone (787) 645-0085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 921 | Other | 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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386969434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4956",
"address_2": "PMB 299",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-645-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AA1 CALLE 27 ESQUINA REINA ISABEL",
"address_2": "AVE BAIROA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-645-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO MARIN",
"first_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "921",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.