Individual provider Active NPI

Tania Gonzalez Lucca, SLP

  • Speech-Language Pathologist
  • Santa Isabel, PR
National Provider Identifier
1740413871
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
823 Issued in PR
Practice address
Bo. Paso Seco Sector Useras Carr 153 KM.7.5
Santa Isabel, PR 00757-0981
Phone
(787) 845-4045
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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 823 PR Primary

Addresses

Primary practice location

Bo. Paso Seco Sector Useras Carr 153 KM.7.5
Santa Isabel, PR 00757-0981

Mailing address

HC 1 Box 6404
Santa Isabel, PR 00757-9781
Phone (787) 845-4045

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
823PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1740413871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6404",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007579781",
            "telephone_number": "787-845-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. PASO SECO SECTOR USERAS CARR 153 KM.7.5",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570981",
            "telephone_number": "787-845-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LUCCA",
        "first_name": "TANIA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.