Marilyn M Adame-Santiago

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

NPI 1831213974 · NPPES record last updated Dec 27, 2011

Key facts

NPI
1831213974
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
732 (PR)
Practice address
154 De la Vereda St.
Estancias de Juncos
Juncos, PR 00777-9778
Phone
(787) 925-7033
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SA 8445FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1106 PR
Speech-Language Pathologist 235Z00000X 732 PR Yes
Speech-Language Pathologist 235Z00000X SA 8445 FL

Addresses

Primary practice location

154 De la Vereda St.
Estancias de Juncos
Juncos, PR 00777-9778

Mailing address

Camino de la Vereda #154
Estancias de Juncos
Juncos, PR 00777-9778
Phone (787) 925-7033

Other identifiers

IdentifierTypeStateIssuer
1106OtherPRLICENCE NUMBER

Other names

  • Marilyn M Adames-Santiago Other name

Other providers in Juncos, PR

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

Sources for this page

Verify at the official NPI Registry.