Lismary Colon Matias, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Avenida Ponce de Leon #1607
Cobian'S Plaza Building
San Juan, PR 00912

Phone

(939) 258-9989

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Centro Terapeutico Tertulia Inc

  • Speech-Language Pathologist
  • San Juan, PR
  • NPI 1689383853
  NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1548860869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1102",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021102",
            "telephone_number": "939-258-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA PONCE DE LEON #1607",
            "address_2": "COBIAN'S PLAZA BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "939-258-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MATIAS",
        "first_name": "LISMARY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CentroTerapeuticoTertuliaInc",
            "affiliation": "N",
            "endpointDescription": "Web Page",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Avenida Ponce de Leon #1607",
            "address_2": "Cobian's Plaza Building",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrian Colon Laracuente
• Carmen Norely Colon Maldonado, LND
• Edgar Luis Colon Marcano, PH.D.
• Alfredo Colon Martinez, M.D.
• Jorge Gabriel Colon Martinez, M.D.
• Lizmar Colon Matias, MSW
• Yaritza M. Colon Melendez, PH.D.
• Raul Colon Nieves, D.M.D., M.D.
• Andre Colon Perez, D.C.
• Jose R. Colon Perez, MD

• Speech-Language Pathologist in San Juan, PR
• Providers in San Juan, 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 Oct 27, 2020; 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.