Myrna Liz Carrasquillo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004109 Issued in PR

Practice address

Calle Tapia #53
San Juan, PR 00911

Phone

(787) 425-9400

NPI assigned

Apr 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1881223683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR6 CAMINO LOURDES 086",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-613-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TAPIA #53",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-425-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "MYRNA",
        "middle_name": "LIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Alanis Carrasquillo Mercado, M.S.
• Jose Antonio Carrasquillo, MD
• Lizandro Carrasquillo, MED,RRT
• Maritza Carrasquillo, M.D.
• Mayra Carrasquillo
• Nancy Carrasquillo
• Rafael Carrasquillo, M.D.
• Samari E Carrasquillo, O.T
• Suleica Carrasquillo
• Waldemar Carrasquillo, D.C.

• 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 Apr 3, 2020; 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.