Doctor Name: | CORAL M. RODRIGUEZ |
NPI Number: | 1578836375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1066 |
Business Practice Address: | Ave. Casa Linda I Suite 101 Bayamon, PR - 00959 |
Business Phone Number: | 7877891919 |
Business Fax Number: | 7877892180 |
Mailing Address: | Pmb 509 P.o. Box 7891, GUAYNABO |
State: | PR |
Postal Code: | 009707891 |
Phone Number: | 7877891919 |
Fax Number: | 7877892180 |
NPI Enumeration Date: | 02/10/2012 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1066 |
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 |