Jireh Therapy Center

Key facts

NPI

1952183113

Entity type

Organization (NPI type 2)

Primary specialty

Speech-Language Pathologist 235Z00000X

Legal business name

JIREH THERAPY CENTER

Practice address

Carr 165 KM 10.4
Lilly Mini Mall Piso 1 Local Bo Contorno
Toa Alta, PR 00953

Phone

(787) 934-1824

NPI assigned

Oct 20, 2023

Organization subpart

No

Authorized official

Name

Roxanna Collazo Santiago, SLP NPI 1275295487

Title

President

Phone

(787) 934-1824

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanna Collazo Santiago Speech-Language Pathologist · Corozal, PR · NPI 1275295487
  NPD Authorized official SPEECH-LANGUAGE PATHOLOGIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2024.

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1952183113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830463",
            "telephone_number": "787-934-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 KM 10.4",
            "address_2": "LILLY MINI MALL PISO 1 LOCAL BO CONTORNO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-934-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "COLLAZO SANTIAGO",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-934-1824",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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