Active NPI
Madieliz Rolon Rivera, M.S.
- Speech-Language Pathologist
- Cidra, PR
National Provider Identifier
1760847131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003064
- Practice address
- Carr 734 KM. 0.5
Barrio Arenas
Cidra, PR 00739-0000 - Phone
- (787) 203-7895
- NPI assigned
- Dec 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003064 | PR | Primary |
Addresses
Primary practice location
Carr 734 KM. 0.5
Barrio Arenas
Cidra, PR 00739-0000
Mailing address
Urb Est del Bosque 899 Calle Robles
Cidra, PR 00739-8413
Phone (787) 203-7895
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003064 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Fonarti | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Cidra, PR
- NPI 1508219171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1760847131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB EST DEL BOSQUE 899 CALLE ROBLES",
"city": "CIDRA",
"state": "PR",
"postal_code": "007398413",
"telephone_number": "787-203-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 734 KM. 0.5",
"address_2": "BARRIO ARENAS",
"city": "CIDRA",
"state": "PR",
"postal_code": "007390000",
"telephone_number": "787-203-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLON RIVERA",
"first_name": "MADIELIZ",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "003064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.