Active NPI
Hadeela Cecilia Pacheco-Zambrana
- Speech-Language Pathologist
- Juana Diaz, PR
National Provider Identifier
1992472906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3078
- Practice address
- Urb. Colinas del Prado
Rey Jorge #297
Juana Diaz, PR 00795 - Phone
- (787) 459-5495
- NPI assigned
- Aug 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP29943 | CA | |
| Speech-Language Pathologist | 235Z00000X | 3078 | PR | Primary |
Addresses
Primary practice location
Urb. Colinas del Prado
Rey Jorge #297
Juana Diaz, PR 00795
Mailing address
Urb. Colinas del Prado
Rey Jorge #48
Juana Diaz, PR 00795
Phone (787) 459-5495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6052156 | Other | PR | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Self | Direct |
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 |
|---|---|---|---|
| 3078 | PR | MD | Psychologist |
| SP29943 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992472906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. COLINAS DEL PRADO",
"address_2": "REY JORGE #48",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-459-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. COLINAS DEL PRADO",
"address_2": "REY JORGE #297",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-459-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO-ZAMBRANA",
"first_name": "HADEELA",
"middle_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2022-07-21",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP29943",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "3078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "6052156",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Self",
"affiliation": "N",
"endpointDescription": "Patient information",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Digital platform",
"address_1": "Urb. Colinas del Prado",
"address_2": "Rey Jorge #297",
"city": "Juana Diaz",
"state": "PR",
"country_code": "US",
"postal_code": "00795",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.