Provider Demographics
NPI:1154856664
Name:FLORES SANTIAGO, CARLA M (MS SLP)
Entity Type:Individual
Prefix:MISS
First Name:CARLA
Middle Name:M
Last Name:FLORES SANTIAGO
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
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Mailing Address - Street 1:410 CARR 876 APT 146
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-7306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:829 AVE SAN PATRICIO STE 5
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1313
Practice Address - Country:US
Practice Address - Phone:787-223-9262
Practice Address - Fax:787-979-3339
Is Sole Proprietor?:No
Enumeration Date:2017-04-23
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist