Provider Demographics
NPI:1215428180
Name:GARCIA MENENDEZ, SULEIMY (MS, SLP)
Entity type:Individual
Prefix:
First Name:SULEIMY
Middle Name:
Last Name:GARCIA MENENDEZ
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:SULEIMY
Other - Middle Name:
Other - Last Name:GARCIA MENENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:URB SAN FELIPE
Mailing Address - Street 2:C11 CALLE 7
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-633-9815
Mailing Address - Fax:
Practice Address - Street 1:203 GALERIA DE SUCHVILLE
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-633-9815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist