Organization Active NPI

Logos Rehab

  • Speech-Language Pathologist
  • Carolina, PR
National Provider Identifier
1982391108
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LOGOS REHAB
Practice address
Ave. Fragoso Via Leticia 4 Es
Villa Fontana Nivel 1
Carolina, PR 00983-2801
Phone
(787) 422-2474
NPI assigned
Apr 18, 2023
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Sebantian L Flores, MBR
Title
Owner / President
Phone
(787) 308-1549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

Ave. Fragoso Via Leticia 4 Es
Villa Fontana Nivel 1
Carolina, PR 00983-2801

Mailing address

149E Calle 2
Trujillo Alto, PR 00976-2801
Phone (787) 308-1549

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1982391108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149E CALLE 2",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762801",
            "telephone_number": "787-308-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FRAGOSO VIA LETICIA 4 ES",
            "address_2": "VILLA FONTANA NIVEL 1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832801",
            "telephone_number": "787-422-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-07-05",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "SEBANTIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "787-308-1549",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.