Active NPI
Alvin Millan, PHL
- Speech-Language Pathologist
- Fajardo, PR
National Provider Identifier
1982811907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 512
- Practice address
- Aa15 Calle San Patricio
Alt San Pedro
Fajardo, PR 00738-5032 - Phone
- (787) 863-7169
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 512 | PR | Primary |
Addresses
Primary practice location
Aa15 Calle San Patricio
Alt San Pedro
Fajardo, PR 00738-5032
Mailing address
San Patricio Aa-15 Alts de San Pedro
Fajardo, PR 00738
Phone (787) 863-7169
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 |
|---|---|---|---|
| 512 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982811907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SAN PATRICIO AA-15 ALTS DE SAN PEDRO",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AA15 CALLE SAN PATRICIO",
"address_2": "ALT SAN PEDRO",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007385032",
"telephone_number": "787-863-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAN",
"first_name": "ALVIN",
"credential": "PHL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.