Individual provider Active NPI

Liza Rodriguez-Acevedo, MS-SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1871994384
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3024 Issued in PR
Practice address
Centro Pediatrico Metropolitano, Hospital Pediatrico
Call Box 191079
San Juan, PR 00919-1079
Phone
(787) 763-0550
Fax
(787) 763-1093
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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 3024 PR Primary

Addresses

Primary practice location

Centro Pediatrico Metropolitano, Hospital Pediatrico
Call Box 191079
San Juan, PR 00919-1079

Mailing address

Centro Pediatrico Metropolitano, Hospital Pediatrico
Call Box 191079
San Juan, PR 00919-1079
Phone (787) 763-0550

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

LicenseStateTypeSpecialty
3024PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1871994384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO PEDIATRICO METROPOLITANO, HOSPITAL PEDIATRICO",
            "address_2": "CALL BOX 191079",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191079",
            "telephone_number": "787-763-0550",
            "fax_number": "787-763-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PEDIATRICO METROPOLITANO, HOSPITAL PEDIATRICO",
            "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": "RODRIGUEZ-ACEVEDO",
        "first_name": "LIZA",
        "credential": "MS-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "3024",
            "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 Mar 10, 2015; 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.