Brenda Liz De Jesus Vega, SLP AND RPT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA12884 Issued in FL

Practice address

6062 Tivoli Gardens Blvd
Orlando, FL 32829-7702

Phone

(407) 779-2419

NPI assigned

Dec 24, 2008

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brenda Liz de Jesus Vega

  • Hearing and Speech Clinic/Center
  • Orlando, FL
  • NPI 1306261607
  NPD (past) Authorized official
• Nueva Vida de la Salud Corp

  • General Practice Physician
  • Vega Alta, PR
  • NPI 1376552216
  NPD (past)
• Nueva Vida de la Salud II

  • Rehabilitation Clinic/Center
  • San Juan, PR
  • NPI 1033418496
  NPD (past)

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1750527602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 TIVOLI GARDENS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297702",
            "telephone_number": "407-779-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 TIVOLI GARDENS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297702",
            "telephone_number": "407-779-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS VEGA",
        "first_name": "BRENDA",
        "middle_name": "LIZ",
        "credential": "SLP AND RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1043",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011132400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Limuel Ocampo De Guzman
• Adamar De Jesus Concepcion
• Darines De Jesus Perez
• Joyce M De Jesus Perez
• Aileen De Jesus Sanchez, RPH
• Gerardo De Jesus
• Hector Louis De Jesus, D.C.
• Jennifer De Jesus
• Joseph C De Jesus, PT
• Maritza O De Jesus

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.