Active NPI
Pataka Pitiki Clinica de Terapias, LLC
- Speech-Language Pathologist
- Carolina, PR
National Provider Identifier
1740842871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Yaniellie C Cruz, SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Carolina, PR
- NPI 1154603538
-
- Counseling Psychologist
- Carolina, PR
- NPI 1982390175
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.