Active NPI
Daniel Vazquez-Acevedo, MS SLP
- Speech-Language Pathologist
- Mayaguez, PR
National Provider Identifier
1467182022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4049
- Practice address
- Calle del Rio # 13
Mayaguez, PR 00680 - Phone
- (787) 951-9054
- NPI assigned
- Jun 15, 2022
- Last updated
- Jun 15, 2022
- Sex
- Male
- 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 | 4049 | PR | Primary |
Addresses
Primary practice location
Calle del Rio # 13
Mayaguez, PR 00680
Mailing address
PO Box 582
Hormigueros, PR 00660-0582
Phone (787) 951-9054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720003567 | PR | Practitioner - Qualified Speech Language Pathologist | 3375924467 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4049 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1467182022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 582",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006600582",
"telephone_number": "787-951-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DEL RIO # 13",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-951-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ-ACEVEDO",
"first_name": "DANIEL",
"credential": "MS SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.