Active NPI
Maria Perez, SLP
- Speech-Language Pathologist
- San Juan, TX
National Provider Identifier
1982811592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11760 | Other | TX | TEXAS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11760 | TX | MD | Addiction (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.