Provider Demographics
NPI:1063660165
Name:AROCHO, MIRELIS (SLP)
Entity Type:Individual
Prefix:
First Name:MIRELIS
Middle Name:
Last Name:AROCHO
Suffix:
Gender:F
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:BO. ALGARROBO, CALLE RAUL BELLAFLORES
Mailing Address - Street 2:#107 REPARTO SAN FRANCISCO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-423-2481
Mailing Address - Fax:
Practice Address - Street 1:BO. ALGARROBO, CALLE RAUL BELLAFLORES
Practice Address - Street 2:#107 REPARTO SAN FRANCISCO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682
Practice Address - Country:US
Practice Address - Phone:787-423-2481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR759235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist