Active NPI
Genesis Velasquez, SLP
- Speech-Language Pathologist
- Vega Baja, PR
National Provider Identifier
1437848710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4330
- Practice address
- Urb. Ciudad Real
Calle Andalucia #558
Vega Baja, PR 00693 - Phone
- (787) 901-3088
- NPI assigned
- May 3, 2023
- 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 | 4330 | PR | Primary |
Addresses
Primary practice location
Urb. Ciudad Real
Calle Andalucia #558
Vega Baja, PR 00693
Mailing address
PO Box 1219
Manati, PR 00674-1219
Phone (787) 901-3088
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4330 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1437848710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1219",
"city": "MANATI",
"state": "PR",
"postal_code": "006741219",
"telephone_number": "787-901-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. CIUDAD REAL",
"address_2": "CALLE ANDALUCIA #558",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-901-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "GENESIS",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4330",
"primary": true
}
],
"identifiers": [],
"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 May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.