Evian L Albert
Individual provider Active NPI Speech-Language Pathologist · Ponce, PR
NPI 1780910588 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1780910588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4253 (PR)
- Practice address
- Urb. Constancia
B-46 Paseo Las Colonias , Ste. 1811
Ponce, PR 00717 - Phone
- (939) 213-6064
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4253 | PR | MD | Clinical Psychologist |
| 1060 | PR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 4253 | PR | Yes |
| Speech-Language Assistant | 2355S0801X | 1060 | PR |
Addresses
Primary practice location
Urb. Constancia
B-46 Paseo Las Colonias , Ste. 1811
Ponce, PR 00717
Mailing address
105 Calle Florencio
Juana Diaz, PR 00795-9245
Phone (787) 259-0896
Other providers in Ponce, PR
- Gerardo Alayon Anta
- Marcia Alayon-Rosario
- Gustavo Andres Alayon
- Marco Antonio Albarran Portilla
- Stephanie Albelo Ortiz
- Marybel Albertorio
- Vilmary Albertorio
- Joel Albino Burgos
- Xavier Ivan Albino Flores
- Edgardo Javier Albino Rivera
All providers in Ponce, PR · Speech-Language Pathologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.