Soammy Deliz Acevedo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

591 Issued in PR

Practice address

Carr 107 Bo Borinquen Sec Playuela Calle Amalfi
Aguadilla, PR 00603

Phone

(939) 592-9277

NPI assigned

May 10, 2023

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Super Heroes 5K Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Aguadilla, PR
  • NPI 1679105902
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1821788217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT MARBELLA 66 SEVILLA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-592-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 107 BO BORINQUEN SEC PLAYUELA CALLE AMALFI",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-592-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "SOAMMY",
        "middle_name": "DELIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Jaime Acevedo-Marty, M.D.
• Ivonne Acevedo-Rivera, PHARM. D.
• Geovany Joel Acevedo
• Norma Iris Acevedo, PH. D.
• Oneida Acevedo, MSW
• Aco Salud Clinica Multidisciplinaria Oeste Inc
• Gloria Acevedo Acosta, MD
• Miguel A Acosta
• Ad Therapy Inc
• Adames Crespo Corp Beauty & Health Clinic (Beauty & Health Clinic)

• Speech-Language Pathologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.