Individual provider Active NPI

Elsa Maria Velez Roman, SPEECH LANGUAGE ASSI

  • Speech-Language Assistant
  • Penuelas, PR
National Provider Identifier
1396970059
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
1059 Issued in PR
Practice address
Carr 390 Int KM 0.4 Barrio Cueva
Penuelas, PR 00624
Phone
(787) 836-1618
NPI assigned
May 26, 2009
Last updated
Jun 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 1059 PR Primary

Addresses

Primary practice location

Carr 390 Int KM 0.4 Barrio Cueva
Penuelas, PR 00624

Mailing address

Villa Grilasca 906 Virgilio Biaggi
Ponce, PR 00717
Phone (787) 840-7928

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

LicenseStateTypeSpecialty
1059PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Interdisciplinario Psicoeducativo Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1396970059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA GRILASCA 906 VIRGILIO BIAGGI",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-7928",
            "fax_number": "787-290-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 390 INT KM 0.4 BARRIO CUEVA",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ ROMAN",
        "first_name": "ELSA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "SPEECH LANGUAGE ASSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.