Individual provider Active NPI

Mariela Ramos Vega

  • Speech-Language Pathologist
  • San German, PR
National Provider Identifier
1750941076
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4582 Issued in PR
Practice address
Plaza del Oeste Local W 17
Carr #2 Ave Castro Perez
San German, PR 00683
Phone
(787) 265-5535
Fax
(787) 494-2072
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SI3916 FL
Speech-Language Pathologist 235Z00000X 4582 PR Primary

Addresses

Primary practice location

Plaza del Oeste Local W 17
Carr #2 Ave Castro Perez
San German, PR 00683

Mailing address

PO Box 193069
San Juan, PR 00919-3069
Phone (787) 761-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822004491 PR Practitioner - Qualified Speech Language Pathologist 0345789244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4582PRMDClinical Social Worker
SI3916FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Hearing Center Inc Speech-Language Pathologist CurrentSince Jun 8, 2024 Accepting new patients
Head to Toe Kids Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1750941076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193069",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193069",
            "telephone_number": "787-761-0036",
            "fax_number": "787-494-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL OESTE LOCAL W 17",
            "address_2": "CARR #2 AVE CASTRO PEREZ",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-265-5535",
            "fax_number": "787-494-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS VEGA",
        "first_name": "MARIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI3916",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.