Active NPI
Zaidelys Rodriguez Fernandez
- Speech-Language Pathologist
- Trujillo Alto, PR
National Provider Identifier
1487475729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4887-1
- Practice address
- 206 Calle Dr. Fernandez
Trujillo Alto, PR 00976 - Phone
- (787) 678-2808
- NPI assigned
- Oct 21, 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 Pathologist | 235Z00000X | 4887-1 | PR | Primary |
Addresses
Primary practice location
206 Calle Dr. Fernandez
Trujillo Alto, PR 00976
Mailing address
PO Box 1593
Trujillo Alto, PR 00977-1593
Phone (787) 648-5192
Other practice location 1
1576 Calle Encarnacion
San Juan, PR 00920
Phone (787) 708-4997
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 |
|---|---|---|---|
| 4887-1 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terapia Educativa En Accion | Speech-Language Pathologist | Current | Accepting new patients |
| Colabora LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
206 Calle Dr Fernandez
Trujillo Alto, PR 00976
Phone (787) 678-2808
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Trujillo Alto, PR
- NPI 1275399214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1487475729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1593",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009771593",
"telephone_number": "787-648-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CALLE DR. FERNANDEZ",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-678-2808"
}
],
"practiceLocations": [
{
"address_1": "1576 Calle Encarnacion",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00920",
"country_code": "US",
"telephone_number": "787-708-4997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ FERNANDEZ",
"first_name": "ZAIDELYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4887-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.