Sulymar Diaz Santiago – Speech-Language Assistant

Key facts

NPI: 1912798802
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Assistant 2355S0801X
License: 3091 (PR)
Practice address: 6 Calle Jose de Diego
Ciales, PR 00638-3214
Phone: (787) 871-2211
NPI assigned: May 13, 2025
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Centro Imec, Inc. Speech-Language Pathologist · Ciales, PR · NPI 1699565663

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
3091	PR	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Centro Imec, Inc.		Current since May 18, 2025	Accepting new patients

Locations

6 Calle Jose de Diego
Ciales, PR 00638
Phone (787) 466-6670

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Assistant	2355S0801X	3091	PR	Yes

Addresses

Primary practice location

6 Calle Jose de Diego
Ciales, PR 00638-3214

Mailing address

6 Calle Jose de Diego
Ciales, PR 00638-3214
Phone (787) 871-2211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2025.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1912798802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383214",
            "telephone_number": "787-871-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383214",
            "telephone_number": "787-871-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ SANTIAGO",
        "first_name": "SULYMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "3091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

All providers in Ciales, PR · Speech-Language Assistant in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.