Individual provider Active NPI

Keiry Torres

  • Speech-Language Pathologist
  • Trujillo Alto, PR
National Provider Identifier
1790146181
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3068 Issued in PR
Practice address
Trujillo Medical
Carr Num 181 KM 2.1
Trujillo Alto, PR 00976
Phone
(787) 631-9128
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 3068 PR Primary

Addresses

Primary practice location

Trujillo Medical
Carr Num 181 KM 2.1
Trujillo Alto, PR 00976

Mailing address

9627 Villas de Ciudad Jardin
Canovanas, PR 00729-9805
Phone (787) 631-9128

Other practice location 1

421 Calle San Jovino
Urb. sagrado Corazon
San Juan, PR 00926-4212
Phone (787) 747-1374

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
3068PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comunyka, Corp Speech-Language Pathologist CurrentSince Nov 10, 2019 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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1790146181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 VILLAS DE CIUDAD JARDIN",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299805",
            "telephone_number": "787-631-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRUJILLO MEDICAL",
            "address_2": "CARR NUM 181 KM 2.1",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-631-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Calle San Jovino",
            "address_2": "Urb. sagrado Corazon",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009264212",
            "country_code": "US",
            "telephone_number": "787-747-1374",
            "fax_number": "787-745-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "KEIRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.