Provider Demographics
NPI:1235374398
Name:ROSADO-COLON, DAMARIS (SLP)
Entity Type:Individual
Prefix:MRS
First Name:DAMARIS
Middle Name:
Last Name:ROSADO-COLON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLAZA ARENALES 7021
Mailing Address - Street 2:CAMINO DEL MAR
Mailing Address - City:TOA BAJA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00949
Mailing Address - Country:UM
Mailing Address - Phone:787-960-0907
Mailing Address - Fax:
Practice Address - Street 1:7025 PLAZA ARENALES
Practice Address - Street 2:CAMINO DEL MAR
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4391
Practice Address - Country:US
Practice Address - Phone:787-960-0907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR850235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist