Individual provider Active NPI

Kalil Mireily Matias

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1609758192
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1441 Issued in PR
Practice address
Urb. Hillcrest Village #3009
Calle Paseo de la Pradera
Ponce, PR 00716-7002
Phone
(787) 628-7691
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 1441 PR Primary

Addresses

Primary practice location

Urb. Hillcrest Village #3009
Calle Paseo de la Pradera
Ponce, PR 00716-7002

Mailing address

Urb. Hillcrest Village #3009
Calle Paseo de la Pradera
Ponce, PR 00716-7002
Phone (787) 628-7691

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
1441PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1609758192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. HILLCREST VILLAGE #3009",
            "address_2": "CALLE PASEO DE LA PRADERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007167002",
            "telephone_number": "787-628-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. HILLCREST VILLAGE #3009",
            "address_2": "CALLE PASEO DE LA PRADERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007167002",
            "telephone_number": "787-628-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "KALIL",
        "middle_name": "MIREILY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.