Doctor Name: | MARIA C. BUSTILLO |
NPI Number: | 1568887784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 192 |
Business Practice Address: | Calle 10a Montecarlo 863 San Juan, PR - 009245216 |
Business Phone Number: | 7877256500 |
Business Fax Number: | |
Mailing Address: | 863 Calle 10a, Urb. Montecarlo SAN JUAN |
State: | PR |
Postal Code: | 009245216 |
Phone Number: | 7877256500 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2014 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 192 |
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 |