Doctor Name: | ANGELIE RODRIGUEZ |
NPI Number: | 1518358225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2063 |
Business Practice Address: | #326 Calle 32 Villa Nevarez San Juan, PR - 00927 |
Business Phone Number: | 7877926702 |
Business Fax Number: | |
Mailing Address: | C1 Calle 2, Parque San Miguel BAYAMON |
State: | PR |
Postal Code: | 009594208 |
Phone Number: | 7875131540 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2015 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2063 |
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 |