Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM
NPI 1205065075ActiveIndividual· Speech-Language Pathologist· Fajardo, PR
Speech-Language Pathologist (MS,SLP,CCPLSVT,BOM) in Fajardo, Puerto Rico, licensed in PR, with an NPI issued in July 2009. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1205065075 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS,SLP,CCPLSVT,BOM |
| Sole proprietor | Yes |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | May 12, 2020 |
| Certified by provider | May 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 908 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (PR) |
|---|
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