Ivia Nell Rosario Desarden, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004708 Issued in PR

Practice address

1274 Ave Hostos
Ponce, PR 00717-0948

Phone

(787) 813-1972

NPI assigned

May 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1356388532

  Speech-Language Pathologist

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1669265807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CI24 CALLE Y",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142136",
            "telephone_number": "787-813-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170948",
            "telephone_number": "787-813-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO DESARDEN",
        "first_name": "IVIA",
        "middle_name": "NELL",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany Michelle Rosaly Sampoll
• Olga Beatriz Rosaly, PHARMACIST
• William Edgardo Rosaly
• Jonothan Andrew Rosario Colon
• Karla Rosario Curcio
• Vanity Priscilla Rosario Diaz, MD
• Ilia Cristina Rosario Nieves, PHD
• Karla Jinely Rosario Pacheco, BS
• Janisse Rosario Quinones, MD
• Luann Michelle Rosario

• Speech-Language Pathologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.