Doctor Name: | FERNANDO MIGUEL RIVERA-SOTO |
NPI Number: | 1407011166 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 677 |
Business Practice Address: | 759 Ave Avelino Vicente San Juan, PR - 009092538 |
Business Phone Number: | 7876449628 |
Business Fax Number: | |
Mailing Address: | Calle 93 Bloque 99 # 19, Villa Carolina CAROLINA |
State: | PR |
Postal Code: | 00985 |
Phone Number: | 7876463851 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 677 |
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 |