Provider Demographics
NPI:1003811076
Name:ORRACA, NEYSA (MS, MS, CCC-SLP/A)
Entity Type:Individual
Prefix:MRS
First Name:NEYSA
Middle Name:
Last Name:ORRACA
Suffix:
Gender:F
Credentials:MS, MS, CCC-SLP/A
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 504
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:787-780-2890
Mailing Address - Fax:787-785-4809
Practice Address - Street 1:AVE. BETANCES I-7 HERMANAS DAVILA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-2890
Practice Address - Fax:787-785-4809
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR366231H00000X
PR219235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR64023Medicare ID - Type Unspecified