Individual provider Active NPI

Nereida Robles Rosa

  • Speech-Language Pathologist
  • Trujillo Alto, PR
National Provider Identifier
1538677406
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004086 Issued in PR
Practice address
Cooperativa de Vivienda Ciudad Universitaria
Edificio a Oficina G0006
Trujillo Alto, PR 00976
Phone
(787) 633-1636
Fax
(787) 280-0099
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004086 PR Primary

Addresses

Primary practice location

Cooperativa de Vivienda Ciudad Universitaria
Edificio a Oficina G0006
Trujillo Alto, PR 00976

Mailing address

PO Box 30783
San Juan, PR 00929-1783
Phone (787) 633-1636

Other practice location 1

932 Calle Verderon
San Juan, PR 00924-3336
Phone (787) 633-1636

Other practice location 2

Cooperativa de Vivienda Ciudad Universitaria
Edificio a Oficina G0006
Trujillo Alto, PR 00976
Phone (787) 633-1636

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004086PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1538677406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30783",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009291783",
            "telephone_number": "787-633-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COOPERATIVA DE VIVIENDA CIUDAD UNIVERSITARIA",
            "address_2": "EDIFICIO A OFICINA G0006",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-633-1636",
            "fax_number": "787-280-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Calle Verderon",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009243336",
            "country_code": "US",
            "telephone_number": "787-633-1636",
            "fax_number": "787-280-0099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "COOPERATIVA DE VIVIENDA CIUDAD UNIVERSITARIA",
            "address_2": "EDIFICIO A OFICINA G0006",
            "address_purpose": "LOCATION",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "country_code": "US",
            "telephone_number": "787-633-1636",
            "fax_number": "787-280-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES ROSA",
        "first_name": "NEREIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004086",
            "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 Jun 11, 2019; 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.