Individual provider Active NPI

Lucybeth Maldonado Santiago, M.S. SLP.

  • Speech-Language Pathologist
  • Bayamon, PR
National Provider Identifier
1750772588
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2078 Issued in PR
Practice address
Urb Santa Rosa 11-16
Carretera 174
Bayamon, PR 00959-6609
Phone
(787) 510-7400
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 2078 PR Primary

Addresses

Primary practice location

Urb Santa Rosa 11-16
Carretera 174
Bayamon, PR 00959-6609

Mailing address

Las Colinas S 1 Calle Tres Pistachos
Toa Baja, PR 00949
Phone (787) 203-9243

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2078PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1750772588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS COLINAS S 1 CALLE TRES PISTACHOS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-203-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA ROSA 11-16",
            "address_2": "CARRETERA 174",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596609",
            "telephone_number": "787-510-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO SANTIAGO",
        "first_name": "LUCYBETH",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.