Doctor Name: | MR. CARLOS JAVIER HERNANDEZ BOCACHICA |
NPI Number: | 1083940720 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, SLP |
License Number: | 931 |
Business Practice Address: | 1401 Ave San Patricio Suite 2 Urb. La Riviera San Juan, PR - 009212560 |
Business Phone Number: | 7878135937 |
Business Fax Number: | |
Mailing Address: | Po Box 70344, Pmb 210 SAN JUAN |
State: | PR |
Postal Code: | 009368344 |
Phone Number: | 7878135937 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2009 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |