Provider Demographics
NPI:1386851376
Name:CAMPIS, MARIA S
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:S
Last Name:CAMPIS
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 1:3 COLS DE PEDERNALES
Mailing Address - Street 2:LOS MARTINEZ
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-4359
Mailing Address - Country:US
Mailing Address - Phone:787-598-8506
Mailing Address - Fax:
Practice Address - Street 1:3 COLS DE PEDERNALES
Practice Address - Street 2:LOS MARTINEZ
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4359
Practice Address - Country:US
Practice Address - Phone:787-598-8506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR62235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist