Active NPI
Elba Syraida Rosa-Colon
- Speech-Language Pathologist
- Caguas, PR
National Provider Identifier
1952594418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 641
- Practice address
- 328 Paseo del Parque
Urb. El Valle
Caguas, PR 00727-3227 - Phone
- (787) 316-6411
- NPI assigned
- Aug 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1597 | PR | |
| Speech-Language Pathologist | 235Z00000X | 641 | PR | Primary |
Addresses
Primary practice location
328 Paseo del Parque
Urb. El Valle
Caguas, PR 00727-3227
Mailing address
Cond. Serenna 500 Gran Boulevar Los Prados
Apt. 22101
Caguas, PR 00727
Phone (787) 316-6411
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 |
|---|---|---|---|
| 1597 | PR | MD | Registered Dietitian |
| 641 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1952594418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. SERENNA 500 GRAN BOULEVAR LOS PRADOS",
"address_2": "APT. 22101",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-316-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 PASEO DEL PARQUE",
"address_2": "URB. EL VALLE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273227",
"telephone_number": "787-316-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA-COLON",
"first_name": "ELBA",
"middle_name": "SYRAIDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-19",
"last_updated": "2021-04-05",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "1597",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.