Georline Carrasquillo Carmona, SPEECH PATHOLOGY
Speech-Language Pathologist, in San Juan, PR. Individual provider (NPI-1).
NPI number1841908779
StatusActive
Last updated in NPPESNov 9, 2022
Details
- NPI
- 1841908779
- Entity type
- Individual (NPI-1)
- Name
- Georline Carrasquillo Carmona
- Credential
- SPEECH PATHOLOGY
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2022
- Certification date
- Nov 7, 2022
- Last updated
- Nov 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 004138 | PR | Yes |
Practice location
Ave. Roberto SanchezVilella Edf. 903 Local C-2
San Juan, PR 00924-0092
Phone 787-460-9112
Mailing address
40 Condo Veredas Del Rio Apt. 135Carolina, PR 00987
Phone 787-668-9026
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