| Doctor Name: | CARMEN MERCEDES TATIS DE LEON |
| NPI Number: | 1316241128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS SLP |
| License Number: | 1000 |
| Business Practice Address: | Calle 6 D-8 Urb Villas Del Sol Trujillo Alto, PR - 009764704 |
| Business Phone Number: | 7874672760 |
| Business Fax Number: | |
| Mailing Address: | Calle 6 D-8, Urb. Villas Del Sol TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009764704 |
| Phone Number: | 7874672760 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2011 |
| NPI Last Update Date: | 05/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1000 |
| 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 |