Individual provider Active NPI

Maria D Diaz Martinez, MS, SLP

  • Speech-Language Pathologist
  • Guaynabo, PR
National Provider Identifier
1922435353
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003025-1 Issued in PR
Practice address
Cond Quintavalle
149 Calle Acuarela
Guaynabo, PR 00969-3580
Phone
(787) 448-2561
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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 003025-1 PR Primary

Addresses

Primary practice location

Cond Quintavalle
149 Calle Acuarela
Guaynabo, PR 00969-3580

Mailing address

Cond Quintavalle
149 Calle Acuarela
Guaynabo, PR 00969-3580
Phone (787) 448-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000987 PR Practitioner - Qualified Speech Language Pathologist 2860703485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003025-1PRMDSpeech-Language Pathologist

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1922435353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND QUINTAVALLE",
            "address_2": "149 CALLE ACUARELA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693580",
            "telephone_number": "787-448-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND QUINTAVALLE",
            "address_2": "149 CALLE ACUARELA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693580",
            "telephone_number": "787-448-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MARTINEZ",
        "first_name": "MARIA",
        "middle_name": "D",
        "credential": "MS, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "003025-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.