Samir Charneco

Individual provider Active NPI Speech-Language Pathologist · Camuy, PR

NPI 1033634142 · NPPES record last updated Aug 9, 2017

Key facts

NPI
1033634142
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
278 (PR)
Practice address
HC 5 Box 30395
Camuy, PR 00627-9581
Phone
(787) 378-9807
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
278PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Terapeutico Glorimar Vega Inc. Past
since Dec 16, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 278 PR Yes

Addresses

Primary practice location

HC 5 Box 30395
Camuy, PR 00627-9581

Mailing address

PO Box 581
Isabela, PR 00662-0581
Phone (787) 354-8641

Other providers in Camuy, PR

All providers in Camuy, PR · Speech-Language Pathologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.