Individual provider Active NPI

Madieliz Rolon Rivera, M.S.

  • Speech-Language Pathologist
  • Cidra, PR
National Provider Identifier
1760847131
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003064 Issued in PR
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

Updated by the provider on Jul 21, 2016

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 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

LicenseStateTypeSpecialty
003064PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.