Active NPI
Laura T Perez Jimenez
- Speech-Language Pathologist
- Orocovis, PR
National Provider Identifier
1508351255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 369
- Practice address
- Carr 157 KM 23.7
Bo Barros
Orocovis, PR 00720 - Phone
- (787) 368-0283
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 26, 2018
- 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 | 369 | PR | Primary |
Addresses
Primary practice location
Carr 157 KM 23.7
Bo Barros
Orocovis, PR 00720
Mailing address
191 Calle Cesar Gonzalez
Apto 1204 Chateu San Juan
San Juan, PR 00918
Phone (787) 368-0283
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 |
|---|---|---|---|
| 369 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1508351255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 CALLE CESAR GONZALEZ",
"address_2": "APTO 1204 CHATEU SAN JUAN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-368-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 157 KM 23.7",
"address_2": "BO BARROS",
"city": "OROCOVIS",
"state": "PR",
"postal_code": "00720",
"telephone_number": "787-368-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ JIMENEZ",
"first_name": "LAURA",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orocovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.