Active NPI
Fernando Costas
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1780043679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1086
- Legal business name
- FERNANDO COSTAS
- Practice address
- 7 Carr 877 # KM
Marginal Trujillo Alto
San Juan, PR 00926-8212 - Phone
- (939) 204-8074
- NPI assigned
- Feb 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fernando Costas, M
- Title
- Speech and Language Pathologist
- Phone
- (787) 508-6919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1086 | PR | Primary |
Addresses
Primary practice location
7 Carr 877 # KM
Marginal Trujillo Alto
San Juan, PR 00926-8212
Mailing address
PO Box 43002
Suite 515
Rio Grande, PR 00745-6601
Phone (787) 221-3421
National Provider Directory
National Provider Directory- Tax ID family
- Spartanburg Regional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455840000000",
"number": "1780043679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43002",
"address_2": "SUITE 515",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007456601",
"telephone_number": "787-221-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CARR 877 # KM",
"address_2": "MARGINAL TRUJILLO ALTO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009268212",
"telephone_number": "939-204-8074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO COSTAS",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A",
"authorized_official_last_name": "COSTAS",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "787-508-6919",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.