Lisdelian Bruno, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4517 Issued in PR

Practice address

Comercial Villa Marina Carr 189 KM 6.4 Locales 17 Al 20
Gurabo, PR 00778

Phone

(787) 602-1234

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1528896602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 17063",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919025",
            "telephone_number": "787-559-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMERCIAL VILLA MARINA CARR 189 KM 6.4 LOCALES 17 AL 20",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-602-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "LISDELIAN",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Therapy LLC
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• Fausto Boria, MD
• Jemilza Boria, MSW
• Nydia Bou, EDD, MS-CCC-SLP
• Antonio Jose Burgos, BSW
• Luz Minerba Cabezudo, L.P.N.
• Ninoshka Caceres Carrion, PSYD
• Ricardo M Calderon Ortiz, M.D.
• Ishell Y. Calzada, PH.D.

• Speech-Language Pathologist in Gurabo, PR
• Providers in Gurabo, 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 22, 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.

Verify at the official NPI Registry.