Provider Demographics
NPI:1528274230
Name:GONZALEZ, ANA M (EDD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:M
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:EDD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:GALINDE ST SCHOOL OF HEALTH PROFESSIONS
Mailing Address - Street 2:OFFICE 410
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GALINDE ST , SCHOOL OF HEALTH PROFESSIONS
Practice Address - Street 2:OFFICE 410
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-756-3596
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist