Active NPI
Karolyn Rodriguez
- Speech-Language Pathologist
- Ponce, PR
National Provider Identifier
1831824879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7630
- Practice address
- 2972 Ave Emilio Fagot
Ponce, PR 00716-3615 - Phone
- (787) 651-7691
- Fax
- (787) 569-3010
- NPI assigned
- Jul 22, 2022
- 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 | 7630 | PR | Primary |
Addresses
Primary practice location
2972 Ave Emilio Fagot
Ponce, PR 00716-3615
Mailing address
HC 1 Box 9496
Penuelas, PR 00624-9739
Phone (787) 988-0992
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 |
|---|---|---|---|
| 7630 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676678400000",
"number": "1831824879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 9496",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006249739",
"telephone_number": "787-988-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2972 AVE EMILIO FAGOT",
"city": "PONCE",
"state": "PR",
"postal_code": "007163615",
"telephone_number": "787-651-7691",
"fax_number": "787-569-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "7630",
"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 Feb 18, 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.