Active NPI
Logos Rehab
- Speech-Language Pathologist
- Carolina, PR
National Provider Identifier
1982391108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.