Individual provider Active NPI

Lizette Castro, M.S.

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1841408366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
277 Issued in PR
Practice address
Centro Pediatrico de Servicios de Habilitacion,
Call Box 191079
San Juan, PR 00919-1079
Phone
(787) 763-0550
Fax
(787) 763-1093
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 277 PR Primary

Addresses

Primary practice location

Centro Pediatrico de Servicios de Habilitacion,
Call Box 191079
San Juan, PR 00919-1079

Mailing address

18 Calle Coralina
Urb. Roseville
San Juan, PR 00926-9634
Phone (787) 731-6252

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
277PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841408366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE CORALINA",
            "address_2": "URB. ROSEVILLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269634",
            "telephone_number": "787-731-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PEDIATRICO DE SERVICIOS DE HABILITACION,",
            "address_2": "CALL BOX 191079",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191079",
            "telephone_number": "787-763-0550",
            "fax_number": "787-763-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "LIZETTE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "277",
            "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 Jul 8, 2007; 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.