Individual provider Active NPI

Jeanette Vanessa Torres Serrant, CCC-SLP

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1821769001
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000331 Issued in PR
Practice address
Urb Industrial Reparada
2188 Local a Suite a Ponce by Pass
Ponce, PR 00716
Phone
(787) 844-4628
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 000331 PR Primary

Addresses

Primary practice location

Urb Industrial Reparada
2188 Local a Suite a Ponce by Pass
Ponce, PR 00716

Mailing address

2190 Ponce by Pass
Urb Industrial Reparada
Ponce, PR 00717
Phone (787) 844-4628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260618004327 PR Practitioner - Qualified Speech Language Pathologist 5597237636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

127 Calle Rey Fernando
Coto Laurel, PR 00780

Parc Amalia Marin
5260 Calle Angel Perez Lugo
Ponce, PR 00716-1377

Urb Industrial Reparada
2188 Local a Suite a Ponce by Pass
Ponce, PR 00716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000331PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiquirimundi Medical LLC Speech-Language Pathologist CurrentSince Dec 17, 2023 Accepting new patients
Chiquirimundi Inc Speech-Language Pathologist CurrentSince May 18, 2025 Accepting new patients

Locations

138 Calle Comercio
#A
Juana Diaz, PR 00795
Phone (787) 223-2029

2188 Ponce Byp
Ste A
Ponce, PR 00716
Phone (787) 223-2029

2190 Ponce Byp
Ponce, PR 00716
Phone (787) 223-2029

Organizations & group practices 2

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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1821769001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 PONCE BY PASS",
            "address_2": "URB INDUSTRIAL REPARADA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-844-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB INDUSTRIAL REPARADA",
            "address_2": "2188 LOCAL A SUITE A PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-844-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES SERRANT",
        "first_name": "JEANETTE",
        "middle_name": "VANESSA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "000331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.