Active NPI
Yesmin Acevedo Mendez, THL
- Speech-Language Pathologist
- Aguada, PR
National Provider Identifier
1669894374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1033
- Practice address
- Carr 417 KM 4.1
Bo Guanabano
Aguada, PR 00602 - Phone
- (787) 616-6672
- NPI assigned
- Jan 15, 2014
- Last updated
- Mar 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1033 | PR | Primary |
Addresses
Primary practice location
Carr 417 KM 4.1
Bo Guanabano
Aguada, PR 00602
Mailing address
HC 61 Box 5301
Aguada, PR 00602-9573
Phone (787) 616-6672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825000671 | PR | Practitioner - Qualified Speech Language Pathologist | 2163640715 | Practice locations: Aguada, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1033 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capif, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Psychologist
- Aguada, PR
- NPI 1770073330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709942400000",
"number": "1669894374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61 BOX 5301",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029573",
"telephone_number": "787-616-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 417 KM 4.1",
"address_2": "BO GUANABANO",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-616-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO MENDEZ",
"first_name": "YESMIN",
"credential": "THL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2024-03-09",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.