Provider Demographics
NPI:1083918932
Name:QUIROZ, RIGOBERTO P (SPEECH ASSISTANT)
Entity Type:Individual
Prefix:
First Name:RIGOBERTO
Middle Name:P
Last Name:QUIROZ
Suffix:
Gender:M
Credentials:SPEECH ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 W MCDOWELL RD APT 215
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5138
Mailing Address - Country:US
Mailing Address - Phone:602-918-0810
Mailing Address - Fax:
Practice Address - Street 1:8550 W MCDOWELL RD APT 215
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5138
Practice Address - Country:US
Practice Address - Phone:602-918-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA70762355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant