Provider Demographics
NPI:1164928487
Name:SASTRE, MARCOS III (MS, CF-SLP)
Entity Type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:
Last Name:SASTRE
Suffix:III
Gender:M
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15245 SHADY GROVE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7202
Mailing Address - Country:US
Mailing Address - Phone:301-208-3210
Mailing Address - Fax:
Practice Address - Street 1:15245 SHADY GROVE RD STE 110
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7202
Practice Address - Country:US
Practice Address - Phone:301-208-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist