Provider Demographics
NPI:1043643166
Name:BATIZ HERNANDEZ, CAROLINE (MS)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:BATIZ HERNANDEZ
Suffix:
Gender:F
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:COND VEREDAS DEL LAUREL
Mailing Address - Street 2:APT 5301
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:UM
Mailing Address - Phone:787-812-3939
Mailing Address - Fax:
Practice Address - Street 1:CARR 132 KM 22.1
Practice Address - Street 2:BO CANAS PLAZA GABRIELA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:787-812-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist