Individual provider Active NPI

Maria Perez, SLP

  • Speech-Language Pathologist
  • San Juan, TX
National Provider Identifier
1982811592
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11760 Issued in TX
Practice address
1110 S Stewart Rd
San Juan, TX 78589-5167
Phone
(956) 283-7555
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 11760 TX Primary

Addresses

Primary practice location

1110 S Stewart Rd
San Juan, TX 78589-5167

Mailing address

1110 S Stewart Rd
San Juan, TX 78589-5167

Other practice location 1

1016 Fort Hood Ave
Apt 2
Edinburg, TX 78539-3331
Phone (956) 383-1854

Other identifiers 1

IdentifierTypeStateIssuer
11760OtherTXTEXAS STATE BOARD SLP

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

LicenseStateTypeSpecialty
11760TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982811592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895167",
            "telephone_number": "956-283-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Fort Hood Ave",
            "address_2": "APT 2",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785393331",
            "country_code": "US",
            "telephone_number": "956-383-1854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD SLP",
            "identifier": "11760",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.