MARISSA PEREZ
NPI 1093849085
Speech-Language Pathologist in San Antonio, TX

Q: What is the provider's specialty?

The provider's specialty is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since March 14, 2007

4647 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-2710 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marissa Perez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA PEREZ (NPI 1093849085) is an individual speech-language pathologist provider in San Antonio, Texas, licensed in Texas (103150) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1093849085

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMARISSA PEREZ

Location Address4647 MEDICAL DRSan Antonio, TX 78229-4403

Mailing Address2617 W Summit AveSan Antonio, TX 78228-5020

Phone(210) 358-2710

Sole ProprietorNo

Enumeration DateMarch 14, 2007

Last NPPES UpdateFebruary 24, 2015

✔ NPI 1093849085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in TX · 103150

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.

4647 MEDICAL DR, San Antonio, TX 78229

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0995749

Marissa N Largoza MD PA Methodist Plaza Suite 191 · San Antonio, TX

Active · expires Dec 4, 2026

CLIA Number45D0995749

Laboratory TypePhysician Office

Certificate Effective DateDecember 5, 2024

Certificate Expiration DateDecember 4, 2026

Laboratory DirectorMarissa N. Largoza MD

Laboratory Phone(210) 692-0831

Laboratory LocationMarissa N Largoza MD PA Methodist Plaza Suite 1914499 Medical Drive, Suite 191, San Antonio, TX 78229

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARLOS ROBERTO JAEN M.D.

Family Medicine