SANDRA AISSA MATTOS


Address: 202 B Santa Rosa Mall Ofic., Bayamon, PR 00915-3418
Phone: 7877806006

SANDRA AISSA MATTOS (NPI# 1316490139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316490139
Entity Type Individual
Full Name SANDRA AISSA MATTOS
Credential SLP
Practice Address 202 B Santa Rosa Mall Ofic.
Bayamon
PR 00915-3418
Mailing Address 489 Calle William Jones
San Juan
PR 00915-3418
Practice Telephone 7877806006
Mailing Telephone 7875120142
Enumeration Date 2016-07-28
Last Update Date 2016-07-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 235Z00000X Speech-Language Pathologist 3 PR Speech, Language and Hearing Service Providers
Y 235Z00000X Speech-Language Pathologist 0003 PR Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PR SPEECH-LANGUAGE PATHOLOGIST LICENCE (ORCHP) 0003 01
PR PROFFICE OF REGULATION AND CERTIFICATION OF HELTH PROFFESIONALS 59573 01

Other Providers SANDRA MATTOS

NPI Name Taxonomy Address Enumeration
1538447412 Sandra Mattos Interpreter 1205 Old Buckingham Station Dr Apt 2a, Midlothian, VA 23113-4650 2011-07-27

Office Location

Street Address 202 B SANTA ROSA MALL OFIC.
City BAYAMON
State PR
Zip Code 00915-3418

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902361892 Ayinaida Santiago Psychologist Ave Borinquen Bo Obrero, San Juan, PR 00915 2019-02-05
1902384506 Dohanies Marie Beniquez Ramirez Nutritionist Avenida Borinquen, San Juan, PR 00915 2018-08-06
1831617653 Gilberto Aleman Counselor 2020 Avenida Borinquen Edificio, Barrio Obrero, San Juan, PR 00915 2017-08-31
1922550607 Carmen Maria Figueroa Concepcion Pharmacy Technician D12b Calle Karla Michelle, Villa Palmera, San Juan, PR 00915 2016-10-28
1275902371 Puerto Rico Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1901 Ave Rexach, San Juan, PR 00915 2015-09-18
1104228303 Mayerlinne Montas Speech-Language Pathologist 503 Calle 10, Barrio Obrero, San Juan, PR 00915 2014-09-18
1558776583 Darrelle Villarini Cordova Pediatrics Health Promed, 2020 Ave Borinquen Bo Obrero, San Juan, PR 00915 2014-06-28
1578815726 Ivonne Marie Martinez Pharmacy Technician Ave. Borinquen #2039, San Juan, PR 00915 2012-10-12
1427328368 Grupo Medico Sala De Emergencia Dr Jose S Belaval Clinic/Center Ave .borinquen Bo. Obrero, San Juan, PR 00915 2012-01-10
1225308166 Grupo Radiologico Cdt Jose S Belaval Clinic/Center Ave Borinquen Esq Calle Nin Bo.obrero, San Juan, PR 00915 2012-01-10
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184224388 Jadalis Morales Crespo Speech-Language Pathologist Edif William Davila, Carr #2 Km 11.9, Bayamon, PR 00960 2020-10-27
1174137194 Laura Ivette Ortiz Martinez Speech-Language Pathologist Villas De Buena Vista, L7 Calle Mitra, Bayamon, PR 00956-5957 2020-09-08
1518508944 Ileana Rios-mercado Speech-Language Pathologist 16-20 Ave Aguas Buenas, Bayamon, PR 00959-6691 2019-10-07
1073164158 Artikpro Corp Speech-Language Pathologist Calle 12 V-5, Alturas De Flamboyan, Bayamon, PR 00959 2019-09-20
1891347233 Leishly Marie Nieves Speech-Language Pathologist Carr 167 Km 21.2, Urb Forest Hills, Bayamon, PR 00493 2019-07-16
1790262970 Marilu Alejandro-marin Speech-Language Pathologist Mq41 Urb Monte Claro, Bayamon, PR 00961-3579 2018-07-20
1932696887 Yolimar Yaris Rodriguez Morales Speech-Language Pathologist Pp-14 Calle 5, Urb. Cana, Bayamon, PR 00957 2018-04-17
1093221616 Avanti Therapy Group, Psc Speech-Language Pathologist 500 Alturas De Flamboyan Plaza Chevres, Ave Teniente Nelson Martinez, Bayamon, PR 00959-0095 2017-12-19
1023535390 Centro Terapeutico Multidisciplinario Cari Speech-Language Pathologist 2u5 Ave Laurel, Bayamon, PR 00956-3340 2017-08-27
1588194716 Mariela Santiago Rivera Speech-Language Pathologist 500 Vistas De Panorama, Apartado 48, Bayamon, PR 00957-4413 2017-06-20
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Competitor

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City BAYAMON
Zip Code 00915

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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