Organization Active NPI

Pataka Pitiki Clinica de Terapias, LLC

  • Speech-Language Pathologist
  • Carolina, PR
National Provider Identifier
1740842871
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PATAKA PITIKI CLINICA DE TERAPIAS, LLC
Practice address
Carr 857 KM 0.4
Barrio Canovanillas
Carolina, PR 00987
Phone
(787) 980-8151
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Miss Yaniellie C Cruz, SLPNPI 1154603538
Title
President
Phone
(787) 980-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

Carr 857 KM 0.4
Barrio Canovanillas
Carolina, PR 00987

Mailing address

173 Calle Lirio
Carolina, PR 00987-2212
Phone (787) 980-8151

Other names 1

  • Pataka Pitiki Clinica De Terapias Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1740842871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 CALLE LIRIO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009872212",
            "telephone_number": "787-980-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 857 KM 0.4",
            "address_2": "BARRIO CANOVANILLAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-980-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATAKA PITIKI CLINICA DE TERAPIAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "YANIELLIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-980-8151",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pataka Pitiki Clinica De Terapias",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.