NPIMap

Individual provider Active NPI

Chante Perez-Santiago, MS-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1770912057
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15368 Issued in FL
Practice address
10069 Lee Vista Blvd Apt 11109
Orlando, FL 32829-8117
Phone
(407) 764-2238
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SA15368 FL Primary

Addresses

Primary practice location

10069 Lee Vista Blvd Apt 11109
Orlando, FL 32829-8117

Mailing address

10069 Lee Vista Blvd.
Apt. 11109
Orlando, FL 32829
Phone (407) 764-2238

Other practice location 1

13-12 Calle 54
Urb. Royal Town
Bayamon, PR 00956-4505
Phone (787) 222-6965

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA15368FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770912057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10069 LEE VISTA BLVD.",
            "address_2": "APT. 11109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32829",
            "telephone_number": "407-764-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10069 LEE VISTA BLVD APT 11109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298117",
            "telephone_number": "407-764-2238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13-12 Calle 54",
            "address_2": "Urb. Royal Town",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009564505",
            "country_code": "US",
            "telephone_number": "787-222-6965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-SANTIAGO",
        "first_name": "CHANTE",
        "credential": "MS-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.