Individual provider Active NPI

Frances M Gesualdo, PHL

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1942517057
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1637 Issued in PR
Practice address
1607 Ave Ponce de Leon
Cobians Plaza Suite GM4
San Juan, PR 00909-1820
Phone
(787) 998-6868
Fax
(787) 998-6868
NPI assigned
Sep 10, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 1637 PR Primary

Addresses

Primary practice location

1607 Ave Ponce de Leon
Cobians Plaza Suite GM4
San Juan, PR 00909-1820

Mailing address

7009 Paseo la Fortuna
Urb. Haciendas del Monte
Coto Laurel, PR 00780-2305
Phone (787) 702-2011

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
948PRMDDentist
1637PRMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1942517057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 PASEO LA FORTUNA",
            "address_2": "URB. HACIENDAS DEL MONTE",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802305",
            "telephone_number": "787-702-2011",
            "fax_number": "787-998-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON",
            "address_2": "COBIANS PLAZA SUITE GM4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091820",
            "telephone_number": "787-998-6868",
            "fax_number": "787-998-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESUALDO",
        "first_name": "FRANCES",
        "middle_name": "M",
        "credential": "PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1637",
            "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 Sep 10, 2010; 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.