Individual provider Active NPI

Elismarie Calero, MS-SLP

  • Speech-Language Pathologist
  • Rio Grande, PR
National Provider Identifier
1619509213
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4193 Issued in PR
Practice address
450 Tabonuco St.
Vistas de Rio Grande 2
Rio Grande, PR 00745-8570
Phone
(787) 344-4104
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4193 PR Primary

Addresses

Primary practice location

450 Tabonuco St.
Vistas de Rio Grande 2
Rio Grande, PR 00745-8570

Mailing address

450 Tabonuco St.
Vistas de Rio Grande 2
Rio Grande, PR 00745-8570
Phone (787) 344-4104

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
4193PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1619509213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 TABONUCO ST.",
            "address_2": "VISTAS DE RIO GRANDE 2",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007458570",
            "telephone_number": "787-344-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TABONUCO ST.",
            "address_2": "VISTAS DE RIO GRANDE 2",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007458570",
            "telephone_number": "787-344-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO",
        "first_name": "ELISMARIE",
        "name_prefix": "Mrs.",
        "credential": "MS-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.