Provider Demographics
NPI:1992355788
Name:ESQUILIN, KEYSHLINE DELIE
Entity type:Individual
Prefix:
First Name:KEYSHLINE
Middle Name:DELIE
Last Name:ESQUILIN
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:URB. VILLA ESPERANZA CALLE BONANZA
Mailing Address - Street 2:#74C
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-7018
Mailing Address - Country:US
Mailing Address - Phone:787-469-1683
Mailing Address - Fax:
Practice Address - Street 1:URB. APONTE CALLE ABANICO
Practice Address - Street 2:3B
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-202-4611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR70052355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant