Individual provider Active NPI

Daisy A Sanders Nevarez, M.S

  • Speech-Language Pathologist
  • Vega Alta, PR
National Provider Identifier
1841735073
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4042 Issued in PR
Practice address
Bo. Sabana Carr 693 KM 14.6
Vega Alta, PR 00692
Phone
(939) 625-7214
NPI assigned
Dec 26, 2016
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 4042 PR Primary

Addresses

Primary practice location

Bo. Sabana Carr 693 KM 14.6
Vega Alta, PR 00692

Mailing address

P1 Ave Boulevard Nogal
Quintas de Dorado
Dorado, PR 00646-4736
Phone (787) 638-7029

Other practice location 1

P1 Ave Boulevard Nogal
Quintas de Dorado
Dorado, PR 00646-4736
Phone (787) 638-7029

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
4042PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diego Therapy Group LLC Speech-Language Pathologist CurrentSince Oct 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1841735073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P1 AVE BOULEVARD NOGAL",
            "address_2": "QUINTAS DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464736",
            "telephone_number": "787-638-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. SABANA CARR 693 KM 14.6",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "939-625-7214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "P1 Ave Boulevard Nogal",
            "address_2": "QUINTAS DE DORADO",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "006464736",
            "country_code": "US",
            "telephone_number": "787-638-7029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS NEVAREZ",
        "first_name": "DAISY",
        "middle_name": "A",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.