Doctor Name: | MRS. MARIA DEL CARMEN TRAVIESO |
NPI Number: | 1114295144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHL |
License Number: | 1079 |
Business Practice Address: | Calle 27 So 878 Las Lomas Rio Piedras, PR - 00921 |
Business Phone Number: | 7876199374 |
Business Fax Number: | |
Mailing Address: | Calle 27 So 878 Las Lomas, RIO PIEDRAS |
State: | PR |
Postal Code: | 00921 |
Phone Number: | 7876199374 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1079 |
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 |