Doctor Name: | SUSANA MONTANEZ |
NPI Number: | 1790061976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 978 |
Business Practice Address: | Mansiones De Coamo Buzon 510 Coamo, PR - 00769 |
Business Phone Number: | 7879291513 |
Business Fax Number: | |
Mailing Address: | Po Box 686, COAMO |
State: | PR |
Postal Code: | 007690686 |
Phone Number: | 7879291513 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2011 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 978 |
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 |