Individual provider Active NPI

Glorimar Escobales, B.S

  • Speech-Language Assistant
  • Arecibo, PR
National Provider Identifier
1639571383
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
556 Issued in PR
Practice address
Buzon 1684 Bo Santana
Arecibo, PR 00612
Phone
(787) 922-8490
NPI assigned
Sep 24, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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 556 PR Primary

Addresses

Primary practice location

Buzon 1684 Bo Santana
Arecibo, PR 00612

Mailing address

PO Box 3392
Arecibo, PR 00613-3392
Phone (787) 922-8490

Other identifiers 1

IdentifierTypeStateIssuer
556OtherPRLICENCIA PROFESIONAL DE TERAPISTA DEL HABLA-LENGUAJE

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
556PRMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1639571383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3392",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133392",
            "telephone_number": "787-922-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUZON 1684 BO SANTANA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-922-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBALES",
        "first_name": "GLORIMAR",
        "name_prefix": "Miss",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA PROFESIONAL DE TERAPISTA DEL HABLA-LENGUAJE",
            "identifier": "556",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.