Active NPI
Awilmarie Rodriguez Gutierrez
- Speech-Language Assistant
- Cidra, PR
National Provider Identifier
1447098199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 007257
- Practice address
- Cidra Professional Center
Bo. Arenas Carr. 734 KM. 0.5
Cidra, PR 00739 - Phone
- (787) 647-9967
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- 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 | 007257 | PR | Primary |
Addresses
Primary practice location
Cidra Professional Center
Bo. Arenas Carr. 734 KM. 0.5
Cidra, PR 00739
Mailing address
HC 43 Box 11769
Cayey, PR 00736-9226
Phone (787) 960-4405
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 |
|---|---|---|---|
| 007257 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1447098199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 43 BOX 11769",
"city": "CAYEY",
"state": "PR",
"postal_code": "007369226",
"telephone_number": "787-960-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CIDRA PROFESSIONAL CENTER",
"address_2": "BO. ARENAS CARR. 734 KM. 0.5",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-647-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GUTIERREZ",
"first_name": "AWILMARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "007257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.