Organization Active NPI

Tu Espacio Para Crecer

  • Speech-Language Pathologist
  • Vega Baja, PR
National Provider Identifier
1396363800
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TU ESPACIO PARA CRECER
Practice address
388 Calle Luquillo
Vega Baja, PR 00693-6057
Phone
(787) 222-2112
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Miossottys Plaza Hernandez, MS
Title
Speech and Language Pathologist
Phone
(787) 222-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

388 Calle Luquillo
Vega Baja, PR 00693-6057

Mailing address

388 Calle Luquillo
Vega Baja, PR 00693-6057
Phone (787) 222-2112

Other identifiers 1

IdentifierTypeStateIssuer
4082OtherPRLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027001975 PR Part B Supplier - Clinic/Group Practice 5698264141 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1396363800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 CALLE LUQUILLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936057",
            "telephone_number": "787-222-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 CALLE LUQUILLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936057",
            "telephone_number": "787-222-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU ESPACIO PARA CRECER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "PLAZA HERNANDEZ",
        "authorized_official_first_name": "MIOSSOTTYS",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "787-222-2112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4082",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.