Active NPI
Clotilde Ramon, SLP
- Speech-Language Pathologist
- San Juan, TX
National Provider Identifier
1922209774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13007
- Practice address
- 1110 S. Stewart Rd., Ste.D
Ste
San Juan, TX 78589 - Phone
- (956) 283-7556
- Fax
- (956) 283-7557
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13007 | TX | Primary |
Addresses
Primary practice location
1110 S. Stewart Rd., Ste.D
Ste
San Juan, TX 78589
Mailing address
1110 S Stewart Rd Ste D
San Juan, TX 78589-5168
Phone (956) 283-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13007 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13007 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehability Therapy Center LLC | Past | 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 and National Provider Directory roles.
-
dba Life Skills Therapy Center of San Juan
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- San Juan, TX
- NPI 1992945406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1922209774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 S STEWART RD STE D",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785895168",
"telephone_number": "956-283-7555",
"fax_number": "956-283-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 S. STEWART RD., STE.D",
"address_2": "STE",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "78589",
"telephone_number": "956-283-7556",
"fax_number": "956-283-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMON",
"first_name": "CLOTILDE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "13007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13007",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, TX
- R.T. Nelson, S.E. Nelson, C.L. Lofton Dba Rainbow Adult Day Care
- Raices Provider Services, LLC
- Rainbow Adult Day Care Inc.
- Ralph Munoz Dba Mi Familia Adc
- Lorrie Ramirez, LPC
- Praveen A Reddy, PA
- Rehability Therapy Center LLC (Life Skills Therapy Center of San Juan)
- Mariana Rendon-Garza
- Penny Reyes, OTR
- Rene Reyes, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.