Active NPI
Omarys Nicole Lopez Martinez
- Speech-Language Pathologist
- Corozal, PR
National Provider Identifier
1831804863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4635
- Practice address
- Barrio Padilla Sector Horimigas 1
Corozal, PR 00783 - Phone
- (939) 401-4007
- NPI assigned
- Jan 13, 2023
- Sex
- Male
- 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 | 4635 | PR | Primary |
Addresses
Primary practice location
Barrio Padilla Sector Horimigas 1
Corozal, PR 00783
Mailing address
HC 5 Box 10665
Corozal, PR 00783-9533
Phone (939) 401-4007
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 |
|---|---|---|---|
| 4635 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1831804863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 10665",
"city": "COROZAL",
"state": "PR",
"postal_code": "007839533",
"telephone_number": "939-401-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO PADILLA SECTOR HORIMIGAS 1",
"city": "COROZAL",
"state": "PR",
"postal_code": "00783",
"telephone_number": "939-401-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ MARTINEZ",
"first_name": "OMARYS",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-13",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.