Provider Demographics
NPI:1215604350
Name:ABREU CORTES, KARINA
Entity Type:Individual
Prefix:MS
First Name:KARINA
Middle Name:
Last Name:ABREU CORTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. MANUEL CORCHADO #54 CALLE TREBOL
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:939-238-0668
Mailing Address - Fax:
Practice Address - Street 1:BARRIO LLANADAS SECTOR PONCITO CARR 446 KM 13.2
Practice Address - Street 2:BARRIO LLANADAS SECTOR PONCITO CARR 446 KM 13.2
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:939-238-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7246235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty