Provider Demographics
NPI:1306271853
Name:ESCUDERO GUERRIOS, VILMARIE
Entity type:Individual
Prefix:
First Name:VILMARIE
Middle Name:
Last Name:ESCUDERO GUERRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CALLE GOLONDRINA
Mailing Address - Street 2:URB MONTEVERDE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-9414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:209 CALLE GOLONDRINA
Practice Address - Street 2:URB MONTEVERDE
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-9414
Practice Address - Country:US
Practice Address - Phone:787-525-0281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET001948235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist