Nydia Gonzalez Lopez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

824 Issued in PR

Practice address

Avenida Luis Munoz Marin
Esquina Carr 189
Caguas, PR 00725-8933

Phone

(787) 737-6493

Fax

(787) 561-7760

NPI assigned

Oct 28, 2008

Last updated

Aug 23, 2022By 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

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Advance Therapy Group PSC

  • Speech-Language Pathologist
  • Gurabo, PR
  • NPI 1811150774
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1538312293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 26910",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258933",
            "telephone_number": "787-948-2866",
            "fax_number": "787-561-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LUIS MUNOZ MARIN",
            "address_2": "ESQUINA CARR 189",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258933",
            "telephone_number": "787-737-6493",
            "fax_number": "787-561-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LOPEZ",
        "first_name": "NYDIA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Gonzalez Borrero
• Gerardo Gonzalez Collado
• Liza M Gonzalez Cruz
• Julio Gonzalez del Valle, PHD
• Lisa Victoria Gonzalez Espada
• Maricely Xiomary Gonzalez Marrero, NURSE
• Carlos Adrian Gonzalez Martinez, MD
• Carlos Enrique Gonzalez Martinez, MD
• Jeannette Gonzalez Morales
• Mariam I Gonzalez Motta

• Speech-Language Pathologist in Caguas, PR
• Providers in Caguas, 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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.