Individual provider Active NPI

Lidiana Salas Rodriguez, SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1972741833
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1072 Issued in PR
Practice address
18 Calle Tagore Apt 222
Cond. Parques de Cupey
San Juan, PR 00926-4543
Phone
(787) 675-8672
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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 1072 PR Primary

Addresses

Primary practice location

18 Calle Tagore Apt 222
Cond. Parques de Cupey
San Juan, PR 00926-4543

Mailing address

PO Box 475
Hatillo, PUERTO RICO 00659
UM
Phone (787) 675-8672

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
1072PRMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1972741833",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 475",
            "city": "HATILLO",
            "state": "PUERTO RICO",
            "postal_code": "00659",
            "telephone_number": "787-675-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE TAGORE APT 222",
            "address_2": "COND. PARQUES DE CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264543",
            "telephone_number": "787-675-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS RODRIGUEZ",
        "first_name": "LIDIANA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1072",
            "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 Aug 22, 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.