Active NPI
Jackeline Torres Borrero
- Speech-Language Pathologist
- Ponce, PR
National Provider Identifier
1821779414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4508
- Practice address
- Urb. Mariani
2961 Ave. Rooselvelt a-1
Ponce, PR 00717-1229 - Phone
- (787) 438-3117
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4508 | PR | Primary |
Addresses
Primary practice location
Urb. Mariani
2961 Ave. Rooselvelt a-1
Ponce, PR 00717-1229
Mailing address
10417 Calle Atardecer
Hillcrest West
Ponce, PR 00716
Phone (787) 546-4910
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4508 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1821779414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10417 CALLE ATARDECER",
"address_2": "HILLCREST WEST",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-546-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. MARIANI",
"address_2": "2961 AVE. ROOSELVELT A-1",
"city": "PONCE",
"state": "PR",
"postal_code": "007171229",
"telephone_number": "787-438-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES BORRERO",
"first_name": "JACKELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4508",
"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 Jul 27, 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.