Individual provider Active NPI

Marisol Vincenty, PH.D

  • Audiologist
  • San Juan, PR
National Provider Identifier
1447385992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
506 Issued in PR
Practice address
Ing Calle Galinde Street Eps Building
Office # G-03 Medical Science Campus
San Juan, PR 00935-0001
Phone
(787) 758-2525
Fax
(787) 765-6540
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 506 PR Primary

Addresses

Primary practice location

Ing Calle Galinde Street Eps Building
Office # G-03 Medical Science Campus
San Juan, PR 00935-0001

Mailing address

915 Calle Isaura Arnau
Country Club 2Da Ext,
San Juan, PR 00924-3427
Phone (787) 758-2525

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
506PRMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447385992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CALLE ISAURA ARNAU",
            "address_2": "COUNTRY CLUB 2DA EXT,",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243427",
            "telephone_number": "787-758-2525",
            "fax_number": "787-776-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ING CALLE GALINDE STREET EPS BUILDING",
            "address_2": "OFFICE # G-03 MEDICAL SCIENCE CAMPUS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-758-2525",
            "fax_number": "787-765-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTY",
        "first_name": "MARISOL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.