Provider Demographics
NPI:1285879619
Name:FEBUS-DAVILA, PAULA (SLP)
Entity type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:
Last Name:FEBUS-DAVILA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2151
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-4151
Mailing Address - Country:US
Mailing Address - Phone:787-825-4108
Mailing Address - Fax:
Practice Address - Street 1:LAS FLORES, CALLEJON BRAVO ST.
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-4151
Practice Address - Country:US
Practice Address - Phone:787-825-4108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR763235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist