Active NPI
Marines Oliver
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1962393918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1209
- Practice address
- Urb Villa Andalucia
Ave Frontera H-53
San Juan, PR 00926 - Phone
- (787) 423-3318
- NPI assigned
- Jul 9, 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 | 1209 | PR | Primary |
Addresses
Primary practice location
Urb Villa Andalucia
Ave Frontera H-53
San Juan, PR 00926
Mailing address
Urb Villa Andalucia
Ave Frontera H-53
San Juan, PR 00926
Phone (787) 423-3318
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 |
|---|---|---|---|
| 1209 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1962393918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB VILLA ANDALUCIA",
"address_2": "AVE FRONTERA H-53",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-423-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB VILLA ANDALUCIA",
"address_2": "AVE FRONTERA H-53",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-423-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "MARINES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1209",
"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 Jul 23, 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.