Georline Carrasquillo Carmona, SPEECH PATHOLOGY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004138 Issued in PR

Practice address

Ave. Roberto Sanchez
Vilella Edf. 903 Local C-2
San Juan, PR 00924-0092

Phone

(787) 460-9112

NPI assigned

Nov 9, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1841908779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CONDO VEREDAS DEL RIO APT. 135",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-668-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO SANCHEZ",
            "address_2": "VILELLA EDF. 903 LOCAL C-2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009240092",
            "telephone_number": "787-460-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO CARMONA",
        "first_name": "GEORLINE",
        "credential": "SPEECH PATHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "INMEDIATA",
            "affiliation": "N",
            "endpointDescription": "SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "MAIL",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "INMEDIATA",
            "address_1": "AVE. ROBERTO SANCHEZ",
            "address_2": "VILELLA EDF. 903 LOCAL C-2",
            "city": "SAN JUAN",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009240092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosa Raquel Carmona
• Lymarie Carnot
• Wildaliz Caro Gonzalez, PH.D.
• Andrea Paola Caro, MD
• Enrique Manuel Carrasco Perez
• Gabriela Alanis Carrasquillo Mercado, M.S.
• Jose Antonio Carrasquillo, MD
• Lizandro Carrasquillo, MED,RRT
• Maritza Carrasquillo, M.D.
• Mayra Carrasquillo

• Speech-Language Pathologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.