Individual provider Active NPI

Daralys Perez Ortiz, TERAPISTA DEL HABLA

  • Speech-Language Assistant
  • Dorado, PR
National Provider Identifier
1609608264
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Practice address
Carr. 679 KM 3 Sector Kuilan
Bo. Espinosa
Dorado, PR 00646
Phone
(939) 377-0884
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 Primary

Addresses

Primary practice location

Carr. 679 KM 3 Sector Kuilan
Bo. Espinosa
Dorado, PR 00646

Mailing address

PO Box 3578
Vega Alta, PR 00692-3578
Phone (939) 377-0884

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ebenezer Kids Therapy Multidisciplinary Center Inc Speech-Language Assistant CurrentSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1609608264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3578",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923578",
            "telephone_number": "939-377-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 679 KM 3 SECTOR KUILAN",
            "address_2": "BO. ESPINOSA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-377-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ORTIZ",
        "first_name": "DARALYS",
        "name_prefix": "Mrs.",
        "credential": "TERAPISTA DEL HABLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.