Organization Active NPI

Puerto Rico Assitive Technology Program

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1730516584
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PUERTO RICO ASSITIVE TECHNOLOGY PROGRAM
Practice address
Calle 17 Esquina 6 Jardin Botanico Norte
Urb. Villa Nevarez
San Juan, PR 00927
Phone
(787) 764-0000
NPI assigned
Oct 10, 2013
Organization subpart
Yes
Parent organization
UNIVERSITY OF PUERTO RICO-CENTRAL ADMINISTRATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Ms. Maria I Miranda
Title
Director
Phone
(787) 764-0000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

Calle 17 Esquina 6 Jardin Botanico Norte
Urb. Villa Nevarez
San Juan, PR 00927

Mailing address

1187 Calle Flamboyan Jardin Botanico Sur
Universidad de Puerto Rico-Administracion Central
San Juan, PR 00926-1117
Phone (787) 764-0000

National Provider Directory

National Provider Directory
Part of
Puerto Rico Assitive Technology Program

Locations

1187 Calle Flamboyan
San Juan, PR 00926
Phone (787) 764-6035

Practitioners & affiliated clinicians

Practitioners 3

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": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1730516584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 CALLE FLAMBOYAN JARDIN BOTANICO SUR",
            "address_2": "UNIVERSIDAD DE PUERTO RICO-ADMINISTRACION CENTRAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261117",
            "telephone_number": "787-764-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 17 ESQUINA 6 JARDIN BOTANICO NORTE",
            "address_2": "URB. VILLA NEVAREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-764-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO ASSITIVE TECHNOLOGY PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF PUERTO RICO-CENTRAL ADMINISTRATION",
        "enumeration_date": "2013-10-10",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-764-0000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Mar 20, 2015; 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.