Dalila Porchas

Individual provider Active NPI Speech-Language Pathologist · Somerton, AZ

NPI 1487046009 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1487046009
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP8503 (AZ)
Practice address
950 E Main St BLDG B
Somerton, AZ 85350-7409
Phone
(928) 236-8001
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SLP8503AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP8503 AZ Yes

Addresses

Primary practice location

950 E Main St BLDG B
Somerton, AZ 85350-7409

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406

Other practice location 1

1050 E River Rd Ste 100
Tucson, AZ 85718-5745
Phone (520) 603-5865

Other practice location 2

214 W Main St
Somerton, AZ 85350-6329
Phone (928) 627-1120

Other providers in Somerton, AZ

All providers in Somerton, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.