Doctor Name: | MS. CAROLYN GONZALEZ |
NPI Number: | 1669804225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS - SPEECH THERAPY |
License Number: | 1242 |
Business Practice Address: | 60 Calle Jose De Diego Florida, PR - 006502220 |
Business Phone Number: | 9399402574 |
Business Fax Number: | |
Mailing Address: | 60 Calle Jose De Diego, FLORIDA |
State: | PR |
Postal Code: | 006502220 |
Phone Number: | 9399402574 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2013 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 1242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |