Miossottys Plaza, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4082 Issued in PR

Practice address

388 Calle Luquillo
Vega Baja, PR 00693-6057

Phone

(787) 854-1824

Fax

(787) 854-1824

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tu Espacio Para Crecer

  • Speech-Language Pathologist
  • Vega Baja, PR
  • NPI 1396363800
  Medicare reassignment NPD

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1497274815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 CALLE LUQUILLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936057",
            "telephone_number": "787-222-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 CALLE LUQUILLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936057",
            "telephone_number": "787-854-1824",
            "fax_number": "787-854-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Calle Oneill",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-854-1824",
            "fax_number": "787-854-1824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "D39 Calle Marginal",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "006934545",
            "country_code": "US",
            "telephone_number": "787-858-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAZA",
        "first_name": "MIOSSOTTYS",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.