Doctor Name: | MRS. LUCYBETH MALDONADO SANTIAGO |
NPI Number: | 1750772588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP. |
License Number: | 2078 |
Business Practice Address: | Urb Santa Rosa 11-16 Carretera 174 Bayamon, PR - 009596609 |
Business Phone Number: | 7875107400 |
Business Fax Number: | |
Mailing Address: | Las Colinas S 1 Calle Tres Pistachos, TOA BAJA |
State: | PR |
Postal Code: | 00949 |
Phone Number: | 7872039243 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2015 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2078 |
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 |