Individual provider Active NPI

Fatimah Fehmi Ibrahim

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1831513480
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1561 Issued in PR
Practice address
1152 Calle Lopez Sicardo
Urb San Agustin
San Juan, PR 00923-3223
Phone
(787) 453-2616
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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 1561 PR Primary

Addresses

Primary practice location

1152 Calle Lopez Sicardo
Urb San Agustin
San Juan, PR 00923-3223

Mailing address

1152 Calle Lopez Sicardo
Urb. San Agustin
San Juan, PR 00923
Phone (787) 453-2616

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
1561PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1831513480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 CALLE LOPEZ SICARDO",
            "address_2": "URB. SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-453-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 CALLE LOPEZ SICARDO",
            "address_2": "URB SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233223",
            "telephone_number": "787-453-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHMI IBRAHIM",
        "first_name": "FATIMAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1561",
            "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 18, 2014; 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.