Individual provider Active NPI

Laura Sofia Graziani Santana

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1801594130
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4319 Issued in PR
Practice address
355 De Diego Ave # 359
San Juan, PR 00909-1711
Phone
(787) 723-6868
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 4319 PR Primary

Addresses

Primary practice location

355 De Diego Ave # 359
San Juan, PR 00909-1711

Mailing address

Urb.Reina de Los Angeles
M18 Calle 7W
Gurabo, PR 00778-4030
Phone (787) 378-8270

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
4319PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1801594130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB.REINA DE LOS ANGELES",
            "address_2": "M18 CALLE 7W",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007784030",
            "telephone_number": "787-378-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 DE DIEGO AVE # 359",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091711",
            "telephone_number": "787-723-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANI SANTANA",
        "first_name": "LAURA",
        "middle_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4319",
            "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 24, 2023; 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.