Organization Active NPI

Creative Social Therapy LLC

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1679410906
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CREATIVE SOCIAL THERAPY LLC
Practice address
Ave Ponce de Leon Parada 22 1/2
San Juan, PR 00917-1802
Phone
(305) 588-5990
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Kimberly Peguero Sanchez, PHL
Title
Owner
Phone
(305) 588-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

Ave Ponce de Leon Parada 22 1/2
San Juan, PR 00917-1802

Mailing address

Urb Veredas 764 Camino de Los Cedros
Gurabo, PR 00778-9998
Phone (305) 588-5990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1679410906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VEREDAS 764 CAMINO DE LOS CEDROS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789998",
            "telephone_number": "305-588-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON PARADA 22 1/2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009171802",
            "telephone_number": "305-588-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SOCIAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "PEGUERO SANCHEZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-588-5990",
        "authorized_official_credential": "PHL"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.