Provider Demographics
NPI:1427456607
Name:ADORNO, MARIA DE LOS ANGELES (SPEECH-LANGUEGE ASS)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:DE LOS ANGELES
Last Name:ADORNO
Suffix:
Gender:M
Credentials:SPEECH-LANGUEGE ASS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 155 R 646
Mailing Address - Street 2:SECT. LOMBA 224
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-9742
Mailing Address - Country:US
Mailing Address - Phone:787-702-1525
Mailing Address - Fax:
Practice Address - Street 1:CARR 155 R 646
Practice Address - Street 2:SECT. LOMBA 224
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-9742
Practice Address - Country:US
Practice Address - Phone:787-702-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13472355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant