Active NPI
Amanda Krystal Pares Valles
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1932074663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4610
- Practice address
- Urb Rpto Metropolitano 1262 Ave Americo Miranda
San Juan, PR 00921-1620 - Phone
- (787) 599-2294
- NPI assigned
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 4610 | PR | Primary |
Addresses
Primary practice location
Urb Rpto Metropolitano 1262 Ave Americo Miranda
San Juan, PR 00921-1620
Mailing address
Condominio Camino Real 1500 Carr 19 Apartamento F-304
Guaynabo, PR 00966-4123
Phone (787) 384-0776
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 |
|---|---|---|---|
| 4610 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Terapia Horizonte LLC | Speech-Language Pathologist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1932074663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO CAMINO REAL 1500 CARR 19 APARTAMENTO F-304",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009664123",
"telephone_number": "787-384-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB RPTO METROPOLITANO 1262 AVE AMERICO MIRANDA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009211620",
"telephone_number": "787-599-2294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARES VALLES",
"first_name": "AMANDA",
"middle_name": "KRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-10",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4610",
"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 Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.