Ailenid Alfonzo, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hatillo, PR
NPI 1881898997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881898997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 700 (PR)
- Practice address
- HC 1 Box 7802
Hatillo, PR 00659-9263 - Phone
- (787) 249-3835
- NPI assigned
- Jun 13, 2007
- 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)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700 | PR | MD | Clinical Medical Laboratory |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 700 | PR | Yes |
Addresses
Primary practice location
HC 1 Box 7802
Hatillo, PR 00659-9263
Mailing address
HC 1 Box 7802
Hatillo, PR 00659
Phone (787) 249-3835
Other providers in Hatillo, PR
- Advancing Medical Clicic
- Aixa E Vega Rodriguez
- Lisandra Alcaide Molina
- Zulmari Alcaide
- Abiel Alfonzo
- All American Ambulance
- Saby Allende
- Idelisse Almodovar
- Aloe Centro Naturopatico LLC
- Liz Y Alvarado Rivera
All providers in Hatillo, 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 Jul 8, 2007. 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.