Provider Demographics
NPI:1902865538
Name:RAMPOLLA, SALVADOR (MS)
Entity type:Individual
Prefix:MR
First Name:SALVADOR
Middle Name:
Last Name:RAMPOLLA
Suffix:
Gender:M
Credentials:MS
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 11164
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910
Mailing Address - Country:US
Mailing Address - Phone:787-253-1531
Mailing Address - Fax:787-253-1531
Practice Address - Street 1:10 LAGUNA AVE
Practice Address - Street 2:LAGUNA GARDENS SHOPPING CENTER STE 248
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-253-1531
Practice Address - Fax:787-253-1531
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR175237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG4040Medicare ID - Type Unspecified