Doctor Name: | JAMIE GARRASTEGUI |
NPI Number: | 1053711796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2160 |
Business Practice Address: | 66 Urb Catalana Local 1 Barceloneta, PR - 006172725 |
Business Phone Number: | 7875010702 |
Business Fax Number: | |
Mailing Address: | 66 Urb Catalana, Local 1 BARCELONETA |
State: | PR |
Postal Code: | 006172725 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 2160 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |