Active NPI
Eileen Feliciano
- Speech-Language Assistant
- Isabela, PR
National Provider Identifier
1407566367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 1166
- Practice address
- Urb Brisas del Mar
120 Calle Mar Baltico
Isabela, PR 00662 - Phone
- (787) 517-8730
- NPI assigned
- Dec 1, 2022
- 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 Assistant | 2355S0801X | 1166 | PR | Primary |
Addresses
Primary practice location
Urb Brisas del Mar
120 Calle Mar Baltico
Isabela, PR 00662
Mailing address
Urb Brisas del Mar
120 Calle Mar Baltico
Isabela, PR 00662
Phone (787) 517-8730
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1407566367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB BRISAS DEL MAR",
"address_2": "120 CALLE MAR BALTICO",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-517-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB BRISAS DEL MAR",
"address_2": "120 CALLE MAR BALTICO",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-517-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "EILEEN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "1166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.