Active NPI
Rosa Mayra Cabrera-Ulloa, AU.D.
- Audiologist
- San Juan, PR
National Provider Identifier
1407864705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 061
- Practice address
- 10 Calle Casia
Audiology Service
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- Fax
- (787) 641-0654
- NPI assigned
- Aug 3, 2006
- Last updated
- Dec 19, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 061 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia
Audiology Service
San Juan, PR 00921-3200
Mailing address
Condominio Plaza Antillana Apt. 7101
151 Cesar Gonzalez
San Juan, PR 00918
Phone (787) 758-2439
Other names 1
- Dr. Mayra Cabrera-Ulloa
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61 | PR | MD | Naturopath |
| 061 | PR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1407864705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO PLAZA ANTILLANA APT. 7101",
"address_2": "151 CESAR GONZALEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-758-2439",
"fax_number": "787-798-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"address_2": "AUDIOLOGY SERVICE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582",
"fax_number": "787-641-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA-ULLOA",
"first_name": "ROSA",
"middle_name": "MAYRA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRA",
"last_name": "CABRERA-ULLOA",
"prefix": "DR.",
"credential": "AU.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 19, 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.