Individual provider Active NPI

Dianne Cuebas

  • Speech-Language Pathologist
  • Bayamon, PR
National Provider Identifier
1588023154
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
138 Issued in PR
Practice address
B1 Calle 12
Villas del Rio Bayamon
Bayamon, PR 00959-8961
Phone
(787) 605-3064
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 138 PR Primary

Addresses

Primary practice location

B1 Calle 12
Villas del Rio Bayamon
Bayamon, PR 00959-8961

Mailing address

B1 Calle 12
Bayamon, PR 00959-8961
Phone (787) 605-3064

Other identifiers 1

IdentifierTypeStateIssuer
1272956OtherPRLICENSE

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

LicenseStateTypeSpecialty
138PRMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1588023154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B1 CALLE 12",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598961",
            "telephone_number": "787-605-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B1 CALLE 12",
            "address_2": "VILLAS DEL RIO BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598961",
            "telephone_number": "787-605-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEBAS",
        "first_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1272956",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.