Provider Demographics
NPI:1164747341
Name:BARTOLOMEI, JACQUELINE YAMIL (MS, SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:YAMIL
Last Name:BARTOLOMEI
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB CARRION MADURO
Mailing Address - Street 2:CALLE 2 #59
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-0000
Mailing Address - Country:US
Mailing Address - Phone:787-649-3429
Mailing Address - Fax:
Practice Address - Street 1:URB TOMAS CARRION MADURO
Practice Address - Street 2:CALLE 2 #59
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-649-3429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist