Individual provider Active NPI

Adriana Teresa Moguel Jimenez, LICENCIADA

  • Speech-Language Pathologist
  • Guayama, PR
National Provider Identifier
1700768090
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000622 Issued in PR
Practice address
Urbanizacion Jardines de Monte Olivo
Calle Zeus Num 88
Guayama, PR 00784-6661
Phone
(787) 214-2316
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 000622 PR Primary

Addresses

Primary practice location

Urbanizacion Jardines de Monte Olivo
Calle Zeus Num 88
Guayama, PR 00784-6661

Mailing address

Urbanizacion Jardines de Monte Olivo
Calle Zeus Num 88
Guayama, PR 00784
Phone (787) 214-2316

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

LicenseStateTypeSpecialty
000622PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1700768090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION JARDINES DE MONTE OLIVO",
            "address_2": "CALLE ZEUS NUM 88",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-214-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION JARDINES DE MONTE OLIVO",
            "address_2": "CALLE ZEUS NUM 88",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846661",
            "telephone_number": "787-214-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGUEL JIMENEZ",
        "first_name": "ADRIANA",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "LICENCIADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "000622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.