| Doctor Name: | MARA ZOE FELICIANO |
| NPI Number: | 1295904712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 798 |
| Business Practice Address: | Buzon 105 Lago Patillas St. M-15 Ext Ciudad Del Lago Trujillo Alto, PR - 00976 |
| Business Phone Number: | 7874553155 |
| Business Fax Number: | |
| Mailing Address: | Buzon 105 Lago Patillas St. M-15, Ext Ciudad Del Lago TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 00976 |
| Phone Number: | 7874553155 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2008 |
| NPI Last Update Date: | 02/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 798 |
| 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 |