Provider Demographics
NPI:1992508311
Name:VEGA CARRASQUILLO, SARIBEL (SLP)
Entity type:Individual
Prefix:
First Name:SARIBEL
Middle Name:
Last Name:VEGA CARRASQUILLO
Suffix:
Gender:
Credentials:SLP
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 BORINQUEN CALLE YUCAYEQUE A25
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-685-5202
Mailing Address - Fax:
Practice Address - Street 1:100 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-3925
Practice Address - Country:US
Practice Address - Phone:787-981-9691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4573235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty