Active NPI
Coralys Santiago Maldonado
- Speech-Language Assistant
- Manati, PR
National Provider Identifier
1992309538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 7515
- Practice address
- Bo. Cotto Norte
Urb. Villa Maria B-4
Manati, PR 00674 - Phone
- (787) 915-3000
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- 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 Assistant | 2355S0801X | 7515 | PR | Primary |
Addresses
Primary practice location
Bo. Cotto Norte
Urb. Villa Maria B-4
Manati, PR 00674
Mailing address
HC 2 Box 6265
Morovis, PR 00687-8810
Phone (787) 664-8185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6764262 | Other | PR | ID |
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 |
|---|---|---|---|
| 7515 | PR | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1992309538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 6265",
"city": "MOROVIS",
"state": "PR",
"postal_code": "006878810",
"telephone_number": "787-664-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. COTTO NORTE",
"address_2": "URB. VILLA MARIA B-4",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-915-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO MALDONADO",
"first_name": "CORALYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "7515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID",
"identifier": "6764262",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.