Kayley M Ortega Sustache

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

07611 Issued in NU

Practice address

Urb. Jardin Dorado Calle Persa E11 21273
Dorado, PR 00646

Phone

(787) 224-3808

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1598412132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB .JARDIN DORADO CALLE PERSA E11 21273",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. JARDIN DORADO CALLE PERSA E11 21273",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-224-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA SUSTACHE",
        "first_name": "KAYLEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": "07611",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optima Infusion Pharmacy Inc (Optima Health)
• Optiqus Vision Dorado
• Shamira Oquendo Mustafa
• Brenda Rosa Oquendo, RPH
• Iris Daisy Oquendo, M.S.W
• Priscila Ortega Vazquez
• Kineisha J Ortega, OTA/L
• Ashleymarie Ortiz Cintron
• Alexandra Marie Ortiz Javier, DMD
• Evans Jayson Ortiz Santana, MD

• Speech-Language Assistant in Dorado, PR
• Providers in Dorado, PR by specialty
• Speech-Language Assistant in Puerto Rico

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

Verify at the official NPI Registry.