Michelle M Fuster, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003066-1 Issued in PR

Practice address

2059 Calle Loiza
San Juan, PR 00911-1733

Phone

(787) 200-8684

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1962534545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CALLE ESPANA",
            "address_2": "OCEAN PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111430",
            "telephone_number": "787-727-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 CALLE LOIZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111733",
            "telephone_number": "787-200-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSTER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8629",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "003066-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Fuste, DMD
• Frances Zadette Fuster Astor, MD
• Andrea Fuster, DC
• Iris Fuster, LICENSEDPSYCHOLOGIST
• Jaime L. Fuster, M.D.
• G & G Medical Equipment, Inc.
• G C T Surgery ,PSC
• G.M.D.C. Inc
• G&G Administrative Services LLC (Vista Serena)
• G3A Gastroenterology LLC

• Speech-Language Pathologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.