Individual provider Active NPI

Alba Jannisse Rodriguez, BS

  • Speech-Language Assistant
  • Vega Baja, PR
National Provider Identifier
1588810063
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
819 Issued in PR
Practice address
Street Corcovado San Demetrio
# 829
Vega Baja, PR 00693-3519
Phone
(787) 783-2226
Fax
(787) 862-3735
NPI assigned
Aug 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 819 PR Primary

Addresses

Primary practice location

Street Corcovado San Demetrio
# 829
Vega Baja, PR 00693-3519

Mailing address

Street Corcovado San Demetrio
# 829
Vega Baja, PR 00693-3519
Phone (787) 783-2226

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
819PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1588810063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET CORCOVADO SAN DEMETRIO",
            "address_2": "# 829",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933519",
            "telephone_number": "787-783-2226",
            "fax_number": "787-862-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET CORCOVADO SAN DEMETRIO",
            "address_2": "# 829",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933519",
            "telephone_number": "787-783-2226",
            "fax_number": "787-862-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALBA",
        "middle_name": "JANNISSE",
        "name_prefix": "Miss",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.