Coralys Rios Ayala, CCC-SLP

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

NPI 1235668286 · NPPES record last updated Aug 21, 2024

Key facts

NPI
1235668286
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4435 (PR)
Practice address
Carr. 149 KM 9 Bo Rio Arriba Saliente
Manati, PR 00674
Phone
(939) 403-1392
NPI assigned
Jun 5, 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
4435PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fonoarte LLC Speech-Language Pathologist Past
since Aug 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4435 PR Yes

Addresses

Primary practice location

Carr. 149 KM 9 Bo Rio Arriba Saliente
Manati, PR 00674

Mailing address

PO Box 766
Morovis, PR 00687-0766
Phone (939) 403-1392

Other providers in Manati, PR

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

Sources for this page

Verify at the official NPI Registry.