Active NPI
Nydia Lisvette Lopez, THL
- Speech-Language Assistant
- Bayamon, PR
National Provider Identifier
1700585684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 539
- Practice address
- Carr #2 KM 8.2 Bo. Juan Sanchez
Bayamon, PR 00960-7087 - Phone
- (787) 763-7575
- NPI assigned
- Feb 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | |||
| Speech-Language Assistant | 2355S0801X | 539 | PR | Primary |
Addresses
Primary practice location
Carr #2 KM 8.2 Bo. Juan Sanchez
Bayamon, PR 00960-7087
Mailing address
Calle Camino del Monte 36
Colinas de Plata
Toa Alta, PR 00953
Phone (787) 636-3104
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
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1700585684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE CAMINO DEL MONTE 36",
"address_2": "COLINAS DE PLATA",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-636-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 KM 8.2 BO. JUAN SANCHEZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009607087",
"telephone_number": "787-763-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "NYDIA",
"middle_name": "LISVETTE",
"name_prefix": "Mrs.",
"credential": "THL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.