Provider Demographics
NPI:1235668286
Name:RIOS AYALA, CORALYS
Entity Type:Individual
Prefix:MRS
First Name:CORALYS
Middle Name:
Last Name:RIOS AYALA
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:KM HM 41.6 CARR 2 BO ALGARROBO
Mailing Address - Street 2:SOLAR 2
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-934-5362
Mailing Address - Fax:
Practice Address - Street 1:KM. HM 41.6 CARR 2 BO ALGARROBO
Practice Address - Street 2:SOLAR 2
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-934-5362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant