Active NPI
Wilmaris Rivera Soto, LCDA
- Speech-Language Pathologist
- Aibonito, PR
National Provider Identifier
1558078014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4224
- Practice address
- Urb. Brisas de Aibonito
Trinitaria 48
Aibonito, PR 00705 - Phone
- (787) 358-2208
- NPI assigned
- Nov 3, 2022
- 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 | 4224 | PR | Primary |
Addresses
Primary practice location
Urb. Brisas de Aibonito
Trinitaria 48
Aibonito, PR 00705
Mailing address
Urb. Brisas de Aibonito
Trinitaria 48
Aibonito, PR 00705
Phone (787) 358-2208
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 |
|---|---|---|---|
| 4224 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1558078014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. BRISAS DE AIBONITO",
"address_2": "TRINITARIA 48",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-358-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. BRISAS DE AIBONITO",
"address_2": "TRINITARIA 48",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-358-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA SOTO",
"first_name": "WILMARIS",
"credential": "LCDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.